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These beneficial effects of L-carnitine on skeletal muscle are considered attributed to both inhibition of pathophysiological conditions (inflammation, oxidative stress, mitochondrial dysfunction, myonuclear apoptosis, and proteolysis) and promotion of protein synthesis (Ringseis et al., 2013)

Others might feel a sensation of heat or start sweating

One of these studies also failed to identify any change in anxiety-like behavior 162 , while two further studies employing exendin-4 observed an anxiogenic effect following acute administration 158,169