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doi: 10.1016/0031-9384(92)90451-7

While there have been positive reports of carnitine supplementation and enhanced exercise performance and/or improved responses to exercise, there has been a general consensus to disregard the validity of those findings as the predominate opinion is that any performance enhancements must be predicated on increased resting muscle carnitine levels

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In a study of 68 children with chronic liver disease, 38 of whom had liver cirrhosis, serum L-carnitine levels were significantly lower in those with cirrhosis compared to those with early liver disease and healthy controls [62]