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At a cellular and molecular level, more work is needed to explore the mechanisms of how L-carnitine could exert its action, whether due to its impact on mitochondrial energy metabolism, its potentially anti-ischemic qualities, or its effect on left ventricular remodeling

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L-Citrulline also supports overall cardiovascular function by helping to relax blood vessels and improve circulation

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Consequently, despite the potential for higher initial blood levels, the inherent physiological immaturity and reduced somatic mass associated with preterm birth mean that these infants have significantly diminished endogenous L-carnitine reserves