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Description
Heart failure with preserved ejection fraction is characterized by dynamic impairment of active relaxation and contraction of the left ventricle on exercise and associated with myocardial energy deficiency

Pons R, De Vivo DC: Primary and secondary carnitine deficiency syndromes

The body produces L-Carnitine naturally in the liver and kidneys, though production may be impaired in individuals deficient in vitamin C, iron, or B vitamins

However, its levels can vary depending on age, health status, diet, or exercise habits
