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In this sense, the main role of carnitine during the exercise of low intensity, when the PDC activation and the flow are minimum, very likely involves the translocation of mitochondrial fatty acids [23]

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Potential side effects include: Nausea or mild stomach upset Fatigue Headache Gas or changes in bowel movements Low blood sugar (rare) If side effects are prolonged or difficult to tolerate, providers may recommend alternatives such as tirzepatide, which can have a different side effect profile.

While only the L isomer is present in the biologic system, commercial synthesis of carnitine produces a D, mixture, from which the L-isomer is obtained