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Multiple systematic review and meta-analyses of L-carnitine supplementation have shown beneficial effects with exercise, including reduced muscle damage and soreness, as well as improved exercise performance in those with reduced muscle blood flow (claudication)

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91 Although autophagosomes are often increased in MASLD, reductions in BECN1 and accumulation of p62/SQSTM1 indicate defective lysosomal degradation and impaired autophagic flux.1, 92 This dysfunction affects lipophagy, insulin signaling, inflammatory responses, and cellular stress pathways

J Neuroinflamm (2012) 9(1):276