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Ketamine use for analgesia may theoretically promote neuroprotection (by reducing glutamate neurotoxicity)

Taking L-carnitine for athletic performance or muscle gains: Studies on L-carnitine for increasing muscle mass have very mixed results, with most studies showing that it doesnt give a big benefit for resistance training.[ref] The benefit of supplemental carnitine is that it can help to reduce soreness and repair muscle damage more quickly.[ref] In male vegetarians (low dietary carnitine), supplementing with 2g/day for 12 weeks increased skeletal muscle carnitine levels but didnt increase muscle mass

a forma biologicamente ativa da carnitina presente nos msculos e frequentemente usada em suplementos com indicao para ajudar na queima de gordura e aumento de energia, melhorando o desempenho fsico

In contract, overt hepatic encephalopathy can present with disorientation, obvious personality change, inappropriate behavior, somnolence, stupor, confusion, and coma (106)

doi: 10.1176/appi.ajp.2020.20101458

Owing to its role in energy production, some pre-workouts and thermogenics include it in their formulation