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Natural Life Labs imo, offer the best value. I have a mitochondria disorder (heart failure and ataxia) and atherosclerosis. I have taken this, with r-Lipoic acid and magnesium for eight weeks and have noticed an improvement in lower pulse and higher blood oxygen and better balance . Benefits of Carnitine • A major cause of aging is the decline in function of mitochondria, the tiny powerhouses that energize our cells. • Most chronic diseases of aging reflect loss of mitochondrial function and numbers, limiting the energy available to cells as we age. • Poorly-functioning mitochondria also impose huge oxidant stress on their parent cells, further accelerating aging and shortening life. • L-carnitine, a natural molecule with several related forms, provides mitochondria with both the energy they need and the antioxidant protection that they must have to retain their youthful function. • Carnitine supplements extend life by increasing energy to tissues throughout the body. • Carnitine supplementation has proven effective in reducing fatigue, enhancing cardiovascular function, improving body composition and promoting weight loss, lowering blood sugar levels, and delaying or reversing brain degeneration. • Its energy-releasing properties make carnitine a useful supplement for reducing the deadly cachexia experienced by many cancer patients.