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Studies have shown that L-carnitine supplementation can improve physical endurance by increasing fat oxidation during exercise

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Regensteiner JG, Hiatt WR

Thus, we can assume that pathways additional to those involved in angiogenesis (Vukojevic et al., 2018) are associated with the increased expression, internalization of VEGFR2, and the activation of the VEGFR2-Akt-eNOS signaling pathway (Hsieh et al., 2017)