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A relatively recently published meta-analysis by Xu et al

While I am not suggesting carnitine is the sole reason for these improvements, I do believe it plays a significant role. Practical guide to using carnitine The first thing to say here is that while the recent research has been conducted in a scientifically rigorous manner, its still early days and more research is needed before we can be entirely confident about the benefits of carnitine + carbohydrate supplementation

Patients were randomized to follow a therapeutic cycle for a total period of eight years: citicoline (1,000 mg/day, by intramuscular injection) or placebo (-blockers alone) for a two-month period followed by a four-month washout period (87)