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It binds to fatty acids to form the "acyl-carnitine" , a complex capable of crossing the inner mitochondrial membrane via a specialized transport system (the carnitine shuttle or carnitine shuttle )

However, muscle uptake of carnitine from the blood is a long process and is not highly sensitive to additional carnitine uptake [271], indicating that muscle cells have a certain degree of saturation of carnitine uptake and that additional intake has a limited effect on muscle carnitine levels when the energy demand is low or when the metabolic status is stable

(2) participantspatients of all ages with non-alcoholic fatty liver disease (NAFLD)

L-Carnitine also aids in recovery post-exercise by reducing muscle injury, cellular damage, and muscle soreness, and improving blood flow and oxygen supply to muscle tissues