Could it be similar to creatine, where strength gains are not so spectacular in sedentary people, so L-carnitine would require an increase in fatty acid oxidation or impaired absorption

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L-carnitine supplementation decreases the left ventricular mass in patients undergoing hemodialysis
Although type 1 diabetes usually appears during childhood or adolescence, it can occur at any age
Allergic reactions, such as a skin rash, are rare