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It should be treated as an optional add-on after calories, protein, training, and sleep are already controlled

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Additionally, most studies also focused on post myocardial infarction injury underexploring L-carnitine effects on procedural injury after percutaneous coronary intervention (PCI)

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Three RCTs [13, 33, 34] involving 186 patients provided low certainty evidence (Table 2) that L-carnitine supplementation may induce or no difference in changes in the total cholesterol levels (MD: 11.80, 95%CI: 27.13 to 3.53)

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