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Interestingly, while these echocardiographic abnormalities allow for a diagnosis of DCM, they are poor correlates of clinical signs, exercise capacity and life expectancy

If carnitine transporter is defective, extensive renal wastage of carnitine causes a very low plasma carnitine concentration and subsequently carnitine deficiency
This is due to its ability to protect sperm cells from oxidative stress and L-carnitine playing a key role in sperm concentration, motility, nuclear DNA integrity and morphology

Importantly, controlled human data are largely limited to short-term experimental studies

In other words, it helps burn fat to provide you with energy