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Research also suggests ALCAR may partially inhibit the hypothalamic-pituitary-adrenal (HPA) axis, helping moderate chronically elevated cortisol a relevant benefit for athletes in heavy training blocks where stress hormone dysregulation is common

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2013 meta-analysis: A meta-analysis of 13 clinical trials including 3,629 adults with acute myocardial infarction who took L-carnitine (from 2.7 g/day for 5 days to 6 g/day for 12 months) versus placebo found that L-carnitine significantly reduced rates of all-cause mortality, ventricular arrhythmias, and new-onset angina