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Aside from dose, timing may also influence carnitine's effects since some data suggests it has a beneficial effect when taken before exercise but this isn't always the case depending on the person's baseline serum carnitine levels, with lower levels requiring longer supplementation periods to elicit exercise performance benefits

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Although 200,000 units are produced during year 3, a total of 230,000 units are sold during the year

doi:10.1038/ng.2418

Secondary outcome measures assessed in this included gastrocnemius mass and the presence of a foot-flexion contracture [2]