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Furthermore, research in 2018 demonstrated that l-carnitine alleviates muscle injury and reduces markers of cellular damage and free radical formation accompanied by attenuation of muscle soreness, while a 2020 study revealed that L-carnitine supplementation ameliorated muscle damage only in resistance training groups and untrained population. Updated research in 2023 relayed the following information: The presented studies analyzed the role of L-carnitine supplementation in muscle bioenergetics and its antioxidant potential in physically active individuals

Since the membrane is impermeable to these fatty acids, carnitine acts as a carrier via the following steps:[ref] Carnitine is bound to the fatty acyl group using CPT1 (carnitine palmitoyltransferase 1) to form acylcarnitines at the outer mitochondrial membrane