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And so there's some weird stuff that we can look at aside from animal protein that could be just as anabolic

At the extreme end of this situation, where there is a genetic deficit in carnitine biosynthesis, some nasty stuff happens without carnitine supplementation [1]: Liver damage and dysfunction Brain damage Muscle weakness Lethargy Exercise intolerance Yet, there can also be situations of mild deficiency where these overt signs arent present

I would definitely think three times before taking an L-carnitine supplement. The studies in the Mayo report were mostly small with short follow-up, and included only heart attack survivors

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When NNMT activity is reduced, less nicotinamide is methylated and wasted, allowing NAD pools to remain higher