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The authors of those individual studies as well as the reviewers have generally attributed the lack of performance benefits with L-carnitine to the inability to increase resting muscle carnitine concentrations

Main body This review (a) summarizes the effects of carnitines on female fertility along with the findings from various in vivo and in vitro studies involving human, animal and assisted reproductive technology, and (b) proposes their mechanism of actions in improving female fertility through their integrated actions on reducing cellular stress, maintaining hormonal balance and enhancing energy production

Eur J Pharmacol 632(13):6572

Frati, G

Haberin Devam L Carnitine'in Zarar Var m