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These are organic compounds containing the quaternary ammonium compound carnitine

Journal of Managed Care & Specialty Pharmacy, [online] 29(5), pp.564568

Eur J Clin Nutr (2002) 56(2):11420.10.1038/sj.ejcn.1601293 44 MarrugatJCovasMIFitMSchrderHMir-CasasEGimenoEet alEffects of differing phenolic content in dietary olive oil on lipids and LDL oxidation: a randomized controlled trial

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Also from WebMD: At the same time, L-Carnitine helps transform glucose into energy, which reduces the amount of sugars in your blood

Menstrual cycle changes have not been systematically studied or reported as primary or secondary endpoints in these trials