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Conclusions: The present results prove that routine supplementation in the parenteral nutrition of preterm newborns may help to increase carnitine levels, but neither a relevant improvement in the lipid profile, or an increase in weight gain, or a decrease in morbimortality or reduction of hospital stay could be demonstrated

Hepatology 64 , 19942014 (2016)

L-carnitine also improves endurance by acting as a cellular buffer, neutralising the metabolic by-products of exercise which contribute to muscle fatigue, like lactic acid