By improving HRV, L-carnitine helps shift the autonomic nervous system out of chronic sympathetic overdrive (the "fight or flight" state) and enhances parasympathetic vagal tone (the "rest and digest" state), promoting a calmer, more regulated nervous system response to physical stressors
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D3(methyl)- L -carnitine was synthesized by methylating L -norcarnitine with CD3I (Koeth et al., 2013)