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A Turkish study, on the other hand, showed that supplementing 3-4 grams of L-carnitine per day increased time to exhaustion and lowered the pulse in professional soccer players

Proc Natl Acad Sci 1997;94:19671972

& Drezek, R

Despite their significant clinical potential, they are associated with certain limitations, including suboptimal pharmacokinetics and patient adherence challenges, necessitating the development of advanced drug delivery systems to optimize efficacy and improve compliance

Carnitine: Health Professional Fact Sheet

They are classified as bulk drug substances and are available only through a licensed prescribing provider and compounding pharmacy