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Given the observed changes in the respiratory quotient and perceived exertion, further studies could also explore the underlying biochemical mechanisms responsible for these effects, such as the role of L-carnitine in mitochondrial function, fat oxidation, and glycogen preservation during prolonged exercise

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Findings have been encouraging, with doses of 1 to 3 g/day of L-carnitine over 3 to 6 months improving sperm motility, concentration, morphology, and count

Biophys J , 105 (3), 581592