oral l carnitine vs injectable injection L- Carnitine Injection – Clinica IDEAL Harwin L-Carnitine Injection | Kare Pharmacy
Description
A.ClementiE.MelaniM.BoverisA.CadenasE.MoncadaS.et al (2001)

Research solutions are frequently incorporated into scientific investigations designed to evaluate material characteristics, analytical properties, and comparative performance within controlled laboratory environments
Caramori G, Adcock IM, Casolari P, Ito K, Jazrawi E, Tsaprouni L, Villetti G, Civelli M, Carnini C, Chung KF, Barnes PJ, Papi A (2011) Unbalanced oxidant-induced DNA damage and repair in COPD: a link towards lung cancer
J Biol Chem 257(8):42484252 Bautista AP, Mszros K, Bojta J, Spitzer JJ (1990) Superoxide anion generation in the liver during the early stage of endotoxemia in rats

If your levels remain low despite supplementation, it may be a sign that there is an underlying source of inflammation or toxin exposure that needs to be addressed at the foundational level