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Energy dependence: The transport process relies on the proton electrochemical gradient of the inner mitochondrial membrane to ensure the coupling of fatty acid transport and mitochondrial oxidative phosphorylation, maintaining the dynamic balance of energy metabolism

L-carnitine may have antioxidant properties too, which can help reduce muscle damage (3)

low blood sugar - headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery

Another small study in 2010 conducted at Sapienza Universitys Department of Clinical Medicine in Rome found that combining L-carnitine with caloric restriction helped reduce insulin resistance and increase sensitivity

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