L-Carnitine
Overview
L-Carnitine is a naturally occurring amino acid derivative crucial for energy production within cells. It transports fatty acids to the mitochondria, where they are converted into energy. Supplementing with L-Carnitine may enhance energy levels, endurance, and exercise performance.
Benefits
- Cardiovascular Health: L-Carnitine may support cardiovascular health by reducing the risk of heart disease, lowering blood pressure, and improving lipid profiles (Trifunovic et al., 2017).
- Physical Performance and Exercise: Supplementation may improve exercise performance, reduce fatigue, and enhance recovery by increasing energy production and reducing oxidative stress (Wall et al., 2011).
- Cognitive Function: L-Carnitine may have neuroprotective effects, improving cognitive function, memory, and mood in individuals with cognitive impairment, dementia, and Alzheimer's disease (Pettegrew et al., 2000).
- Metabolic Health: L-Carnitine may improve insulin sensitivity, glucose metabolism, and weight management, potentially aiding in type 2 diabetes and metabolic syndrome (Duran et al., 2018).
- Neuroprotection and Antioxidant Activity: L-Carnitine has antioxidant properties, potentially protecting against neurodegenerative diseases like Parkinson's and Alzheimer's by reducing oxidative stress and inflammation (Fang et al., 2017).
- Muscle Function and Sarcopenia: Supplementation may improve muscle function, reduce muscle damage, and increase muscle mass, particularly in older adults with sarcopenia (Malaguarnera et al., 2018).
- Kidney Function and Disease: L-Carnitine may improve kidney function, reduce inflammation, and slow disease progression in individuals with chronic kidney disease (CKD) and end-stage renal disease (ESRD) (Kazemzadeh et al., 2018).
- Male Fertility and Reproductive Health: L-Carnitine may improve sperm quality, motility, and fertility in men with infertility and androgen deficiency (Lenzi et al., 2004).
- Anti-Aging and Mitochondrial Function: L-Carnitine may improve mitochondrial function, reduce oxidative stress, and promote anti-aging effects.
How It Works
L-Carnitine facilitates the transport of fatty acids into the mitochondria for energy production. It regulates energy production, reduces oxidative stress, and influences cellular processes.
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Mechanism of Action:
- Activation of Fatty Acids: Long-chain fatty acids are activated by Coenzyme A (CoA) to form acyl-CoA.
- Formation of Acyl-Carnitine: CPT1, on the outer mitochondrial membrane, catalyzes the transfer of the acyl group from acyl-CoA to L-Carnitine, forming acyl-carnitine.
- Transport across the Inner Mitochondrial Membrane: Acyl-carnitine is transported across the inner mitochondrial membrane by the carnitine-acylcarnitine translocase.
- Regeneration of Acyl-CoA: Inside the mitochondria, CPT2 catalyzes the transfer of the acyl group from acyl-carnitine back to CoA, regenerating acyl-CoA, which can then undergo beta-oxidation to produce energy.
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Pathways Affected:
- Fatty Acid Oxidation: L-Carnitine regulates the rate of fatty acid oxidation, essential for energy production.
- Krebs Cycle (Citric Acid Cycle): Acetyl-CoA from fatty acid oxidation enters the Krebs cycle, generating ATP, NADH, and FADH2.
- Electron Transport Chain: Electrons from NADH and FADH2 are passed through the electron transport chain, producing ATP.
- Antioxidant Defense: L-Carnitine has antioxidant properties.
Dosage
Dosage varies based on intended use, individual needs, and health status.
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General Health and Wellness:
- Standard dose: 500-2000 mg per day, taken 1-2 times a day.
- Timing: With meals, preferably with breakfast and lunch, to support energy production and fat metabolism.
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Exercise Performance and Endurance:
- Standard dose: 1000-3000 mg per day, taken 30-60 minutes before exercise.
- Timing: Take 1-2 hours before exercise to enhance endurance, reduce fatigue, and support muscle function.
- Special consideration: Combine with creatine, beta-alanine, or BCAAs for enhanced exercise performance.
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Weight Loss and Fat Burning:
- Standard dose: 1000-2000 mg per day, taken 30-60 minutes before meals.
- Timing: Take before meals to support fat metabolism, reduce appetite, and enhance weight loss.
- Special consideration: Combine with a calorie-restricted diet and regular exercise for optimal weight loss results.
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Heart Health and Cardiovascular Support:
- Standard dose: 1000-3000 mg per day, taken 1-2 times a day.
- Timing: With meals, preferably with breakfast and dinner, to support heart health and reduce cardiovascular risk factors.
- Special consideration: Consult with a healthcare professional before taking L-Carnitine supplements, especially if you have a pre-existing heart condition or are taking medications.
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Neuroprotection and Cognitive Function:
- Standard dose: 500-2000 mg per day, taken 1-2 times a day.
- Timing: With meals, preferably with breakfast and lunch, to support cognitive function and neuroprotection.
- Special consideration: Combine with acetyl-L-carnitine (ALCAR), alpha-lipoic acid, or omega-3 fatty acids for enhanced neuroprotection and cognitive benefits.
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Special Considerations:
- Pregnancy and breastfeeding: Consult with a healthcare professional before taking L-Carnitine supplements.
Safety & Side Effects
L-Carnitine is generally considered safe, but can cause side effects, interact with medications, and has contraindications.
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Side Effects:
- Gastrointestinal issues: nausea, vomiting, diarrhea, abdominal cramps, and stomach discomfort.
- Allergic reactions: rash, itching, and hives.
- Body odor: a "fishy" odor, particularly in individuals with trimethylaminuria.
- Seizures: rare cases of seizures have been reported, especially in people with a history of seizure disorders.
- Interactions with blood thinners: may increase the risk of bleeding when taken with anticoagulant medications.
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Contraindications:
- Pregnancy and Breastfeeding: Consult with a healthcare provider before taking L-Carnitine supplements.
- Kidney Disease: Individuals with kidney disease should consult with their healthcare provider before taking L-Carnitine.
- Seizure Disorders: People with a history of seizure disorders should exercise caution.
- Thyroid Conditions: Individuals with thyroid conditions should consult with their healthcare provider before taking supplements.
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Drug Interactions:
- Blood Thinners: May increase the risk of bleeding.
- Thyroid Medications: May affect their efficacy.
- Blood Pressure Medications: May affect their efficacy.
- Diabetes Medications: May affect their efficacy.
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Safety Considerations:
- Dosage: High doses of L-Carnitine (>3 grams per
Chemistry
L-Carnitine, also known as levocarnitine, is a compound crucial for transporting fatty acids into mitochondria for energy production.
- Molecular Formula: C₇H₁₅NO₃
- IUPAC Name: (R)-3-Hydroxy-4-(trimethylammonio)butyrate
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Key Structural Features:
- L-Carnitine is a quaternary ammonium compound with a hydroxyl group (-OH), a carboxyl group (-COOH), and a trimethylammonium group (-N+(CH₃)₃).
- The molecule has a chiral center at the 3-position.
- Hydroxyl group (-OH): Involved in hydrogen bond formation.
- Carboxyl group (-COOH): Responsible for acidity and salt formation.
- Trimethylammonium group (-N+(CH₃)₃): Positively charged, contributing to water solubility and ionic interactions.
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Properties:
- Physical State: White, crystalline powder
- Solubility: Highly soluble in water, slightly soluble in ethanol and methanol
- pKa: 3.77 (carboxyl group)
- pH: 6.5-7.5 (in aqueous solution)
- Melting Point: 197-200°C
- Molecular Weight: 161.20 g/mol
L-Carnitine is a zwitterion, essential for energy production in the heart, skeletal muscle, and other tissues.
Sources & Quality
L-Carnitine can be sourced from natural sources, extracted, or synthesized.
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Natural Sources:
- Meat and poultry: High concentrations in red meat, especially beef, lamb, and pork. Organ meats like liver and kidney are also rich in L-Carnitine.
- Fish and seafood: Salmon, cod, and shrimp are good sources.
- Dairy products: Milk, cheese, and yogurt contain smaller amounts.
- Plants: Soybeans, avocados, and whole grains contain small amounts.
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Extraction/ Synthesis Methods:
- Chemical synthesis
- Fermentation
- Extraction from animal sources
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Quality Considerations for Supplements:
- Purity: High purity (>99%)
- Stability: Stable formulations and packaging.
- Form: L-Carnitine, L-Carnitine L-Tartrate, and Acetyl-L-Carnitine (ALCAR).
- Manufacturing process: Follow Good Manufacturing Practices (GMPs) and have third-party testing and certification.
- Label claims: Realistic and scientifically-backed claims.
- Allergen and contaminant testing.
Where to Buy L-Carnitine






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