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One study found that regular supplementation combined with exercise can improve how your body uses fat during workouts, leading to better endurance and a gradual change in body composition

Elevated plasma TMAO levels have been associated in several studies with a higher risk of cardiovascular events and death [11, 67]

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L-carnitine also may help reduce lactic acid accumulation and support a higher lactate threshold, but most importantly, it may help reduce mental fatigue