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however, some biochemical measures related to lipid metabolism differed significantly from infants fed the same formula supplemented with L-carnitine (31)

Research has found that carnitine deficiency can cause smooth muscle dysmotility (changes in speed, strength, or coordination) of the gastrointestinal tract (similar to what it does to muscle metabolism, causing muscle weakness), which can cause gastrointestinal discomfort and changes in the microbiota ( gut dysbiosis ), as well as constipation
Its role as a fatty acid transporter makes it complementary to agents that increase lipolysis

2006, Philadelphia: Lippincott, Williams and Wilkins, 537-544