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L-Carnitine

Amino Acid

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.

  • 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.
  • 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.

  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.

  • 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.
  • 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.
  • 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.
  • 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
  • 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.
  • 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.

  • 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.
  • Extraction/ Synthesis Methods:

    • Chemical synthesis
    • Fermentation
    • Extraction from animal sources
  • 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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