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This results in extended exercise capacity before the onset of fatigue.

L-carnitine shuttles fatty acids from the cytosol (the cell fluid) into the mitochondria (the cells powerhouses) for oxidation and energy production

10.1194/jlr.R048975 37

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The strength of this study was its large sample size, with 23 patients experiencing a cholestatic liver injury

It has been reported that guanidinoacetate N-methyltransferase is not affected by the intake of creatine supplements, or by GH, and remains the hepatic activity in function [26,27]
