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Casas H, Murtra B, Casas M, Ibanez J, Ventura JL, Ricart A, Rodriguez F, Viscor G, Palacios L, Pages T, Rama R: Increased blood ammonia in hypoxia during exercise in humans

AMS, aging male symptoms scale

In people with low L-carnitine status or certain metabolic limitations supplementing can improve fatty acid transport and sometimes help with exercise recovery
2023;10:e2205876

Since the carrier molecule of fatty acids, acyl-CoA, can not cross the cell membrane of the mitochondria, a deficiency of carnitine causes a reduction in the concentration of fatty acids in the mitochondria and, consequently, a reduced production of energy
