l carnitine side effects fishy odor trimethylamine nih Deficiency: What Is It, Causes, Symptoms, and More Trimethylaminuria (Fish Odor Syndrome or

In this review, we summarize the potential roles of TMAO in inducing endothelial dysfunction and the mechanisms leading to the pathogenesis and progression of associated disease conditions

This is important for delaying muscle glycogen depletion and fatigue, promoting an optimal muscle endurance capacity

Jan 2018;4(1):128-138

"L-carnitine for insulin resistance: meta-analysis." Adv Clin Exp Med 2017;26:333-8

L-carnitine has also been shown to significantly reduce ventricular arrhythmias after acute myocardial infarction, which may well be one of the mechanisms by which it provides an early life-saving beneficial response, explaining the early significant 39% reduction in five-day mortality that was prespecified as a secondary endpoint in the Carnitine Ecocardiografia Digitalizzata Infarct Miocardico 2 (CEDIM 2) [47]