Evidently cells can tolerate the burden, deliberately allowing low-grade oxidative stress for the cited and many other vital roles including signal transduction, calcium homeostasis, membrane turnover, redox control and genomic stability
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Improving sports performance: For athletes and fitness enthusiasts, L-Carnitine increases energy reserves, improving stamina and reducing muscle fatigue, while favoring recovery after intense physical exertion
The main considerations are cost (you're paying for two medications instead of one) and the added complexity of a daily injection alongside a weekly one