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In the TMLHE gene knockout mouse model, the carnitine biosynthetic pathway is inhibited due to the loss of TMLD activity in the liver, affecting the availability of carnitine in the heart, significantly reducing the rate of synthesis of LCACs, and contributing to the protection of mitochondrial function after myocardial IRI [215]

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Clinical research suggests that adding L-carnitine from day 3 of the cycle until the day of pregnancy testing to a clomiphene treatment cycles increases ovulation and pregnancy rates compared with placebo in these women [26]