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For example, for insulin-resistant individuals, add components such as chromium and alpha-lipoic acid to improve glycolipid metabolism

2017 meta-analysis: A meta-analysis of 17 clinical trials including 1,625 adults with chronic heart failure found that 16 g/day L-carnitine supplements for 7 days to 3 years improved left ventricular ejection fraction by 4.14%, stroke volume by 8.21 mL, and cardiac output by 0.88 L/min compared to routine treatment

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[DOI] [PMC free article] [PubMed] [Google Scholar] 10.Hellstrom W.J., Bivalacqua T.J

These esterified fatty acids have a limited capacity for penetration to the mitochondrion, requiring a physiological carrier