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The Glycemic, Cholesterol, and Weight Effects of L-Carnitine in Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Diabetes Epidemiology and Management , vol

The result: more efficient use of fat as a fuel, especially when demand is high (e.g., exercise)
Hepatic VLDL secretion One of the major functions of the liver is to synthesize and secrete VLDL

Fat distribution and gender differences in serum lipids in men and women from four European communities

Increased endurance capacity directly translates to better sprint performance, time trials, and time to exhaustion

So, there is a balance here