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QG, MDW, JV and PAS provided critical discussion and revision of the article for intellectual content, and approved the final version of the manuscript

L-Carnitine's primary function is as a biological shuttle, but its metabolic impact extends across multiple pathways within the mitochondrial energy production system

A randomized controlled trial

L Carnitine is a naturally occurring amino acid derivative that plays a key role in transporting fatty acids into cells to be burned for energy

Statistical analysis The variables exhibiting a normal distribution were compared using the ANOVA test, while the KruskalWallis test was employed for evaluating abnormally distributed variables within each study group
