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Indeed, L-carnitine is responsible for the increased use of long-chain fatty acids as an energy source, but studies on its weight-loss effects have produced mixed results
ALCAR is eliminated mainly through renal excretion, with the unchanged compound and its metabolites (such as L-carnitine following deacetylation) appearing in urine

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Myocardial response to pretreatment with L-carnitine in patients with cardiac valve replacement