Medium chain fatty acid oxidation is independent of l carnitine in liver and kidney but not in heart and skeletal muscle American Journal of Physiology Gastrointestinal and Liver Physiology American Physiological Society Early research into L carnitine was often cited as underwhelming, showing negligible changes in muscle carnitine content and fat loss outcomes. However, these findings may have been limited by a short study window Effects of l Carnitine Supplementation in Patients Receiving Hemodialysis or Peritoneal Dialysis History of L carnitine: Implications for renal disease Journal of Renal Nutrition
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l-carnitine effects on kidney L-Carnitine | Linus Pauling Institute