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It also promotes hepatic fat oxidation, which is a fancy way of saying it tells your liver to burn stored fat for fuel

Cureus 16(4):e59266 Mosca L, Ilari A, Fazi F, Assaraf YG, Colotti G (2021) Taxanes in cancer treatment: Activity, chemoresistance and its overcoming

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The authors of the study wrote that the potential mechanisms behind these effects include "L-carnitine's role in transporting fatty acids across mitochondrial membranes, enhancing beta-oxidation, reducing free fatty acid availability, and inhibiting cholesterol synthesis." In addition, the authors noted, "L-carnitine exhibits antioxidant and anti-inflammatory properties, which can further modulate dyslipidaemia (the imbalance in blood lipids) and protect LDL from oxidative stress." Finally, it was reported that L-carnitine was able to reduce the conversion of free fatty acids to triglycerides, and ultimately prevent the build-up of triglycerides

Treatment with a ghrelin agonist in outpatient women with anorexia nervosa: a randomized clinical trial