Role of L carnitine in exercise training: Anti inflammatory, antioxidant, and metabolic interactions ScienceDirect Potential Adverse Effects of L Carnitine Marnys The Importance of the Fatty Acid Transporter L Carnitine in Non Alcoholic Fatty Liver Disease (NAFLD) Role of carnitine in disease Nutrition & Metabolism Springer Nature Link L carnitine is primarily synthesized in the liver from the amino acids lysine and methionine through a series of four enzymatic reactions, with the liver and kidneys converting the precursor butyrobetaine into active