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L-carnitine has a real job in human metabolism, but supplement marketing has stretched that job into a promise it cannot reliably keep

Carnitine/acetylcarnitine also have potentially positive effects on hormonal and metabolic parameters in patients with reproductive dysfunction, such as polycystic ovary syndrome [86, 87], and these effects may involve a series of complex signal transduction pathways to maintain the homeostasis of the endocrine system [88]

ACR Open Rheumatol 5(5):464-469, 2022

Carnitine also plays an important role in other diseases associated with depression, like multiple sclerosis (MS), neuromyelitis optica (NMO), and HIV infection