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And so its not regulated

In studies, l-carnitine has demonstrated the ability to promote oxygenation of heart muscle and maintain healthy enzyme activity, support cardiovascular energy, enhance exercise recovery, and maintain healthy lipid metabolism

doi: 10.1038/s41395-018-0088-6 12 GolabiPOtgonsurenMCableRFelixSKoenigASayinerMet al

This is especially impressive when you understand how the body is defending a weight set point

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It is important to consider the influence of these non-muscle components in DXA measurements of lean mass, and particularly the inability of DXA to calculate variable amounts of water [29], making it difficult to distinguish between loss of muscle and reduction in extracellular volume