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In the repeated administration study, we observed a gradually increasing elimination of carnitine via urine over a 7day treatment period, suggesting a decrease in OCTN2 transport capacity in the presence of elevated carnitine levels

10.1016/j.cell.2016.05.041 Cell

For references and more information , see the section on congestive heart failure in the Thiamin article

L Carnitine boosts energy and workout performance

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How does L-carnitine maintain the normal structure of sciatic nerve in crush injury? - Several studies have demonstrated that L-carnitine exhibits neuroprotective effects on injured sciatic nerve of rats with diabetes mellitus