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[30] They allow endogenously released acetylcholine more time to interact with its respective receptor before being inactivated by acetylcholinesterase in the synaptic cleft (the space between nerve and muscle)

Friolet R, Hoppeler H, Krhenbhl S: Relationship between the coenzyme A and the carnitine pools in human skeletal muscle at rest and after exhaustive exercise under normoxic and acutely hypoxic conditions

L-Carnitine plays an important role in transporting fatty acids into the mitochondria, where they are converted into usable cellular energy

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There is also some evidence that carnitine supplementation may affect the regulation of the thyroid hormones

Some studies have reported a benefit in elite endurance athletes with a high energy intake and expenditure
