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Askarpour, M., et al

They found that after six months of treatment, L-carnitine was more effective at improving erections and sexual performance than testosterone, though the hormone helped somewhat

Carnitine acyltransferases are a family of enzymes responsible for production of acylcarnitines, and among them, they have specificities that cover fatty acids differing in chain-length, branching and other structural features, over the entire range of acyl chain lengths, depending on the cellular location and metabolic purpose, and they enable reversible shuttling of acyl groups between free CoA and carnitine