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The summary below pulls the headline numbers from each pivotal study

How carnitine really works: the simple science Carnitine is a small molecule your body makes and uses to transport long-chain fatty acids into mitochondria, the cellular furnaces where fats are burned for energy

[Proc Natl Acad Sci U S A

Critically, it does not bind to the growth hormone receptor and does not raise IGF-1 levels.[1] This means its effects stay localized to fat metabolism, making it a much more targeted option than full hGH therapy