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[DOI] [PubMed] [Google Scholar] 10.Brass E.P

Theres also evidence that L-carnitine influences carbohydrate metabolism, exercise performance, and recovery by supporting energy efficiency and reducing muscle fatigue [2]

J Neurochem 114:820831 Shinohara M, Saitoh M, Takanashi J, Yamanouchi H, Kubota M, Goto T, Kikuchi M, Shiihara T, Yamanaka G, Mizuguchi M (2011) Carnitine palmitoyl transferase II polymorphism is associated with multiple syndromes of acute encephalopathy with various infectious diseases

So once fat cells are removed from a localised area your results are as good as permanent

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A.et al (2006)