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Quick answer: L-carnitine is most plausible for people with a real carnitine deficit or a context where trials show bigger effects: older adults, people with overweight or obesity, some metabolic-health populations, dialysis patients under medical care, and athletes using it for recovery over weeks, not days

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Studies were performed in male and female mice

increasing the expression of mitofusin 1 (MFN1) and mitofusin 2 (MFN2)