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A decrease in Lactobacillus species was recorded in the L-carnitine and Mildronate groups, indicative of intestinal dysbiosis and a negative consequence of L-carnitine administration

Rheumatology (Oxford)

Its primary job is transporting long-chain fatty acids into the mitochondria (your cells' energy factories), where they're burned for fuel
Your body can also produce L-carnitine on its own, primarily in the liver and kidneys
