Carnitine is a good energy booster and antioxidant. It is good for a number of conditions.
What is Carnitine?
Carnitine is an amino acid found in nearly every cell of the body. It is a generic name for a variety of compounds such as: L-carnitine, acetyl-L-carnitine, and propionyl-L-carnitine [R].
Although chemically similar with overlapping benefits, L-carnitine, acetyl-L-carnitine, and propionyl-L-carnitine are three different supplements with different mechanisms of action and different general uses.
Acetyl-L-carnitine is generally used to improve brain functioning and cognition [R].
L-carnitine is used to increase energy levels, especially in those with disease or genetic disorders [R].
Propionyl-L-carnitine is used to increase blood circulation [R].
All forms of carnitine play a vital role in the production of energy. Carnitine helps turn body fat into energy. It also gets rid of toxic compounds from the mitochondria to prevent build up. Carnitine is produced by the liver and kidneys, and stored in skeletal, brain, and heart tissue that use fatty acids as energy [R][R2].
Those with genetic disorders, disease, vegetarians, underweight, and premature infants, need to supplement carnitine in their diet. Other conditions that cause carnitine deficiency include angina and intermittent claudication [R].
Generally, carnitine is found in meat, fish, poultry, and milk [R].
The Carnitine That I Recommend
Below, I give some different good options for buying Carnitine, but some people want to to know which one is most recommended.
The Health Benefits of Carnitine
1-2) Carnitine as a Weight Loss Aid and Performance Enhancer
L-carnitine is often referred to as a weight loss aid. Since younger people have a sufficient amount of carnitine in the body it does not have as great of results as in older people. In older people, carnitine improves body composition. However, it may improve exercise endurance in all ages by increasing muscle carnitine levels [R].
Initial studies have found that dietary carnitine stimulates the break down of fats into energy, reduces the amount of lactic acid produced during exercise, speeds up recovery from exercise stress, prevents cell damage, and prevents cell death [R]. This may contribute to weight loss.
3) Carnitine Reduces Chronic Fatigue From Disease and Aging
Just as carnitine’s ability to produce energy from fats can help boost your endurance to exercise and lose weight, it can also fight fatigue.
Fatigue is common in cancer patients after treatments from chemotherapy, radiation therapy, and poor nutrition. Low carnitine levels can contribute to this fatigue. Carnitine has been seen to help improve mood and quality of sleep while diminishing fatigue. In one study, terminal cancer patients received 250 milligrams of carnitine 3 times a day and as a result improved fatigue and quality of life [R].
Patients with kidney disease often have anemia, a condition in which red blood cells are deformed. The deformity prevents the blood cells from carrying enough oxygen to the body’s tissues, causing fatigue. A study following hemodialysis patients found that carnitine supplements reduced red blood cell deformity and increased overall red blood cell count in 3 months [R].
In a study of elderly subjects, L-carnitine treatment reduced physical fatigue, mental fatigue, or severity of fatigue. L-carnitine treatment also resulted in reduced muscle pain and improved cognitive function [R].
4) Carnitine Improves Mood
Carnitine’s energy-boosting abilities may also serve to reduce depressive symptoms.
5) Carnitine Improves Cognition
L-carnitine, especially acetyl-L-carnitine improve memory in older people and in Alzheimer patients by slowing progression of the disease. By consuming carnitine, acetylcholine is produced. This neurotransmitter usually declines as memory loss advances. In this case, carnitine increases energy production and gives energy to starved brain cells which slows down memory loss [R].
In a rat model of chronic kidney disease, administration of carnitine significantly improved cognitive function [R].
6) Carnitine Treats Male Infertility and Improves Sexual Function
The amount of carnitine in semem is directly related to sperm count and mobility. Therefore, an intake of carnitine can help treat male infertility. Carnitine can provide more energy for sperm cells and can reduce cell death in the testes. A study of 100 infertile men revealed that an intake of carnitine supplements increased motility in the sperm cells.[R]
In a six-month long study, married but infertile men were given an oral dose of 250 mg carnitine four times a day. Results showed increased sperm count, mobility, and concentration with an effectiveness level similar to that of varicocelectomy surgery (A Varicocele is a network of tangled blood vessels (varicose veins in the scrotum) [R ].
A build up of free radicals can be caused by infection, long sexual abstinence, harmful environmental factors, and varicocele. These free radicals damage cell structure and genetic material, and accelerates cell death. Since carnitine can be considered an antioxidant and has a neutralizing effect on free radicals, it makes sense that carnitine would improve the viability of sperm cells. This was confirmed both in cells and in organisms [R].
A study of dialysis patients found that testosterone levels were directly correlated with carnitine levels in the blood, suggesting that supplemental carnitine may increase testosterone levels and sexual function [R].
However, a study on rats showed that inhibiting the production of carnitine (and consequently lowering the overall level of carnitine) did not decrease the sexual activity or sperm quality of male rats [R ].
7) Carnitine Helps Insulin Resistance
Insulin resistance may be related to an inability to burn fat. Increased levels of fat in lean tissue has become a sign for insulin resistance. Some research suggests that carnitine may improve insulin sensitivity by decreasing fat levels in lean tissue and muscle. Studies showed that consuming carnitine supplements provided relief of nerve pain [R].
8) Carnitine and Sleep Quality
Sleep-disordered breathing is associated with heart damage and altered heart carnitine metabolism. Although carnitine levels are low in heart tissue in those with chronic heart failure, carnitine levels of the blood is increased because of leakage from damaged heart cells and altered carnitine metabolism [R].
Carnitine supplementation can help patients suffering from obstructive sleep apnea, a condition where breathing repeatedly stops and starts during sleep. Carnitine helped improve airway for breathing and improved overall sleep quality for patients [R].
In a study of elderly subjects, L-carnitine treatment improved symptoms of sleep disorders [R].
However, a study on pre-mature infants suffering from apnea, a condition in which an individual stops breathing while sleeping, found no evidence that carnitine reduces apnea and dependence on mechanical ventilation [R].
9) Carnitine Improves Daytime Alertness in Narcolepsy
Acylcarnitine levels are abnormally low in narcolepsy patients, but L-carnitine supplements have been found to reduce the amount of time patients spent dozing off during the day. L-carnitine treatment increased acylcarnitine and reduced fat in the blood [R].
10) Carnitine is Protective Against Heart Disease
Carnitine and its derivatives protect heart function, and have demonstrated benefits in conditions where a weak heart fails to pump enough blood, glucose, and oxygen to the body’s tissues. Without enough blood and oxygen to meet the body’s needs, heart attack, stroke, and death can occur. Carnitine can help those with heart conditions by increasing glucose metabolism, increasing blood flow, correcting abnormal heart rhythms, and reducing toxicity [R].
A 3-year long term study on patients with heart failure found that L-carnitine increased survival rates compared to those who did not receive carnitine treatment [R].
In a rat-model study of cardiomyopathy, a condition in which the heart is weak, L-carnitine prevented the death of muscle cells in some parts of the heart. [R].
Taurine and L-carnitine can work together to benefit heart health. In rat muscle cells, L-carnitine and taurine stopped the multiplication (proliferation) and hardening of muscle cells. This can prevent the hardening of blood vessels and stop plaque from accumulating, thus preventing heart disease or atherosclerosis [R].
11) Carnitine May Slow HIV Progression to AIDS
Because HIV patients develop complications such as muscle, fat, and nerve degeneration, they may benefit from carnitine which prevents cell death. In HIV positive individuals L-carnitine and acetyl-L-carnitine treatments increased CD4 counts, reduced cell death, prevented heart tissue damage, and reduced the amount of triglycerides (fat) in the blood [R].
L-carnitine prevents the death of white blood cells, which would help fight HIV infection. Specifically, L-carnitine treatment increased the amount of CD4 and CD8 T-cells, which are particularly helpful in fighting the HIV retrovirus [R].
An initial study on patients HIV-associated fat tissue degeneration did not find any evidence for using L-carnitine to reverse the effects of fat tissue degeneration. This study found that L-carnitine lowered cholesterol levels in the blood, but not the levels of triglycerides [R].
12) Carnitine Improves Kidney Function
In a rat model of chronic kidney disease, administration of carnitine significantly improved kidney function. Carnitine lowered the levels of creatinine and BUN in the blood, reduced kidney tissue damage and abnormal kidney enlargement [R].
13) Carnitine May Strengthen Bone
Another study found that dietary L-carnitine improved bone mineral content and bone mineral density in a female mouse model of postmenopausal bone loss. Results indicate slowed bone loss and improved bone structure [R]
Carnitine promotes bone mineralization [R].
14) Carnitine Suppresses Seizures
In several mouse studies of drug-induced seizure, pre-treating the mice with L-carnitine successfully suppressed seizures. The more carnitine a mouse was give, the more strongly seizures were suppressed [R,R2]
15) Carnitine Helps the Liver
Many studies have found that valproate and other anti-convulsant drugs reduce the body’s carnitine levels, resulting in liver damage. L-carnitine supplementation in such individuals may prevent or reduce the severity of liver damage [R].
A rat model of hyperthyroidism induced by L-thyroxine injections showed that L-carnitine has a dose-dependent protective effect against liver damage [R].
16) Carnitine May Prevent Genetic Damage
In rats, carnitine had a protective effect against genetic damage, with higher doses being more effective [R].
17) Carnitine Prevents Hyperthyroidism
18) Carnitine May Help ALS
19) Carnitine Inhibits an Overactive Thyroid
In one randomized trial, 2 and 4 grams per day of L-carnitine reversed hyperthyroid symptoms. In another study, L-carnitine proved usefulness in the most serious form of hyperthyroidism: thyroid storm [R].
Drawbacks/Risks Involved with Carnitine
- Taking doses at about 3 grams per day can cause vomiting, diarrhea, a fishy body odor, abdominal cramps, and nausea. More severe and rarer side effects are seizures and muscle weakness for those who are prone to heart disease [R].
- Some research suggests that carnitine is metabolized into TMAO, which changes cholesterol metabolism and may promote plaque build-up in the arteries. This leads to the degeneration of artery walls, restricted blood circulation, and blood clot. These conditions would make it harder for the heart to pump blood and supply bodily tissues with enough oxygen and nutrients, and may cause stress to the heart, possibly leading to heart disease [R].
- As mentioned, Carnitine inhibits both triiodothyronine (T3) and thyroxine (T4) entry into the cell. This means that if you’re hypothyroid, it’s not a great supplement to take.
- Long-term use of L-carnitine accelerates the production of reactive oxygen species in the liver and blood in mice [R].
- L-carnitine may disturb kidney function through ion transporters in mice [R].
There’s a variety of acetyl carnitine options that are good.:
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