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The following medical subject headings were used: L-carnitine, carnitine, levocarnitine, novain, L-cthernitine, Vitamin BT, Bicarnesine, heart failure, cardiac dysfunction, cardiac insufficiency, cardiac inadequacy, cardiomyopathy, and ventricular dysfunction. Electronic searches were supplemented with manual searches of reference lists of all retrieved review articles, primary studies, and abstracts from meetings to identify other studies not found in the electronic searches

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Comprehensive Wellness: Acts as an antioxidant that supports cardiovascular health, improves blood circulation, and assists those pursuing a healthy, active lifestyle