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Essentially, CoA needs to be at the right amount in the mitochondria.[ref] Recent research shows that carnitine, as acetylcarnitine, helps to improve mitochondrial biosynthesis and overall function

l-Carnitine Supplementation in Older Women

According to a 2021 review, some studies suggest that L-carnitine may help improve: exercise and muscle recovery muscle oxygen supply exercise performance, endurance, and power However, the researchers note that some studies found no significant benefits from L-carnitine supplementation on these parameters

L-carnitine can sometimes cause stomach problems, such as feeling sick, vomiting, loose stools or just an upset stomach, especially if you take it in too high amounts or take it all the time without food