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But L-carnitine does not seem to improve quality of life, muscle cramping, low blood pressure, breathing function, or exercise performance

A subsequent infusion of long-chain fatty acids had no effect on ketone production, which implies that the substrate of ketone production in the presence of L-carnitine is endogenous fatty acids [87]

Surprisingly, however, uninfected control animals receiving the Gln-supplemented diet did show an upregulation of INF- expression (p = 0.012, fold = 3.01 1.19)