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TABLE OF CONTENTS | REFERENCES | GLOSSARY
L-Carnitine
General Description
L-carnitine is a vitamin-like nutrient, related in chemical structure to the B vitamins. In the human body, L-carnitine is synthesized from the amino acid lysine in the liver and kidneys. Dietary sources of L-carnitine include meat and dairy products, with red meat being the richest source. L-carnitine supplements are produced synthetically.

Health applications

Primary functions
In the body, L-carnitine plays a crucial role in the transport and metabolism of fatty acids, helping the muscles utilize fat as an energy source. Supplemental L-carnitine is popular for improving energy levels in athletes and fatigue sufferers and for promoting cardiovascular function in people with congestive heart failure.

Cardiovascular health
Most of the research on L-carnitine has focused on its potential to improve cardiovascular function. Studies suggest L-carnitine may help improve heart function in patients with congestive heart failure,1-3 increase exercise tolerance in patients with exercise-induced stable angina,4-6 and may even increase the life expectancy of heart attack sufferers. 7-9 Because these studies vary in design, dosage, and the forms of carnitine used, more research is needed to determine the usefulness of L-carnitine in the treatment of cardiovascular disease.

Chronic fatigue syndrome
Because L-carnitine is known to play an essential role in energy production, researchers are studying its potential in the treatment of chronic fatigue syndrome (CFS). Low carnitine levels have been observed in CFS patients, 10-12 and one study showed improvement in CFS parameters with oral L-carnitine treatment.13 Larger studies are needed to verify these preliminary findings.

Dosage/toxicity
L-carnitine supplements are typically taken in doses ranging from 1 to 4 grams per day. It is generally well tolerated in this dosage range, with no significant side effects reported in human clinical studies. 14 There is no known toxicity with L-carnitine, even at very high doses.15


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