L-carnitine supplementation reduces biomarkers of inflammatory and oxidative stress in patients with coronary artery disease: a randomised controlled trial

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The role of L-carnitine is to shuttle fatty acids into the mitochondria, where they are oxidized, producing energy and reducing fat stores in the process
That said, weight loss tends to reverse if the medication is stopped abruptly without lifestyle support in place
Weekly injections with proper rotation (no site used more than once per month) have a lipohypertrophy rate under 3% (Gentile et al., Diabetes & Metabolism , 2020)