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[2] LCLT improves vascular function by enhancing flow-mediated dilation, increasing blood flow and oxygen delivery to working tissues

Carnitine supplementation may have beneficial effects on glucose homeostasis also by modulating the expression of genes involved in insulin signaling pathway, changing the expression of gluconeogenic and glycolytic enzymes, regulating the intra-mitochondrial acyl-CoA/CoA ratio, and modulating the activity of pyruvate dehydrogenase complex (Steiber et al., 2004[46])

J Diabetes Complications 1999;13:251-3

As the most debilitating symptoms, depressive state, and chronic fatigue occur in a majority of patients with MS and NMO ( Various factors can affect the level of carnitine in vivo