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Nonetheless, whether or not NO production negatively impacts ATP production in muscle during repetitive contractions remains an open question

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doi: 10.1016/j.bbrc.2019.01.090 111 EfimovaICatanzaroEvan der MeerenLTurubanovaVDHammadHMishchenkoTAet al

Present mainly in the heart and muscle cells of our body, L-Carnitine also contributes to decrease muscle lactate, enhance glucose utilization, increase the use of lipids as an energy substrate, stabilize the cell membrane and express certain genes related to lipid catabolism