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In principle this could create an additive effect on fat oxidation

10.1016/S0167-7799(96)10064-0 46 WalkerJ

In this study, we found that L-carnitine did not change the mean levels of liver enzymes, including ALT and AST, but prevented the excessive increase in ALP levels

Organ CL, Otsuka H, Bhushan S, Wang Z, Bradley J, Trivedi R, et al
