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Infertile men with varicose veins in the scrotum (varicocele) took carnitine for 6 months (250 mg, 4x a day)

Sattar N, McGuire DK, Pavo I, Weerakkody GJ, Nishiyama H, Wiese RJ, Zoungas S

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The copper ion component binds to fibroblast growth factor receptors, upregulating vascular endothelial growth factor (VEGF) expression in dermal papilla cells

Weeks 11 through 16 (standard therapeutic doses, 2.5 to 5.0 mg): Weight loss accelerates to rates consistent with clinical trial data

This means it produces and releases its own hormones, most notably estrogen