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This deficiency restricts tissue uptake, leading to decreased accumulation in the heart and skeletal muscle and potentiates increased renal carnitine loss [21, 22] leading to systemic carnitine depletion [23]

doi: 10.3390/molecules26020302 29

This is how it could theoretically be beneficial for cyclists looking to boost endurance

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Metabolic engineering to improve provision of the precursor metabolites L-lysine and S -adenosyL-methionine (SAM) may increase de novo production of L-carnitine by the E