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These changes were only subtle across these studies when expressed as an effect size (range: 0.230.59), which could suggest that CMs ergogenic action might be more modest in such settings

In other words, it will vary depending on the individual

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It is also reported that L-carnitine supplementation can improve the glycemic status and related indices by changing the expression of genes related to glycolytic and gluconeogenic enzymes, modulating the activity of the pyruvate dehydrogenase enzyme complex, and changing the expression of genes involved in insulin metabolism (94, 95)