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Supporting Blood Flow In one study (Vecchiet, et al., 1990), researchers found that L-carnitine supplementation was associated with increases in both maximal oxygen uptake and power output, alongside reductions in carbon dioxide production, pulmonary ventilation and plasma lactate at similar exercise intensities

TPP conjugates enhance the accumulation of chemopreventive agents in tumor cell mitochondria, enhancing efficacy and reducing toxicity to normal tissues (131)

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The randomized and placebo-controlled design of all included trials and the double-blind design of most of them can also be other strengths and due to the RCT nature of the studies, the drugs used by the patients (especially in diabetic patients), the diet and the level of physical activity of the participants were controlled and in fact their effects were considered and it can be said that the pure effects of L-carnitine was evaluated