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The possible transport mechanisms together with the wide tissue distribution underlie the role of OCTN2 as the major transporter responsible for the traffic of carnitine and carnitine derivatives in the intestine, distribution to several body districts and reabsorption/excretion in the kidney (Figure 2)

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While L-Carnitine helps increase the efficiency of using FFAs as an energy source, the end result is more useable energy to support physical endurance