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There was a discrepancy between the previous results and the results of a meta-analysis, which demonstrated no significant effect of L-carnitine on all-cause mortality or major cardiac events, including heart failure, unstable angina, and myocardial reinfarction

Wolfrum C, Borrmann CM, Borchers T, Spener F (2001) Fatty acids and hypolipidemic drugs regulate peroxisome proliferator-activated receptors alphaand gamma-mediated gene expression via liver fatty acid binding protein: a signaling path to the nucleus

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Many researchers eventually use all three in rotation, but starting with one allows you to isolate its effects