acetyl l-carnitine vs creatine L-Carnitine: 4 Key Differences – Momentous This 233 Creatine Vs Carnitine – Which

(2003) Randomized, placebo-controlled trial of intramuscular vitamin B12 for the treatment of hyperhomocysteinaemia in dialysis patients

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This l-carnitine buffering effect also extends to the potentially toxic acyl-groups, resulting either from poorly metabolized fatty acyls and from xenobiotics such as antibiotics conjugated with pivalic acid and valproate [44], or from inhibition of certain metabolic pathways for example propionic acid in propionic acidemia [45]

This prevents it from getting "lost" in the digestion of a large meal

It appears to promote the production of GH and may potentially stimulate GH synthesis