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Transport of Fatty Acids into Mitochondria Within cells, long-chain fatty acids are dependent on esterification with L-carnitine to form acetyl-carnitine in order to be transported from the cytoplasm to the mitochondrial matrix for oxidation and energy production (Figure 2)

You could see then, from this admittedly gross over simplification, why L-carnitine has garnered some scientific interest in NAFLD management

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[] In addition, improved sperm motility leads to higher fertilization rates, thus contributing to better fertility outcomes

L-carnitine is sometimes combined with glycine or B6 to enhance absorption and metabolic effects

10.1038/s41579-022-00767-0