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It is a profound, cellular-level energy crisis

The logic goes that if you can get more carnitine to do its job properly, then fat use during rest and exercise can go up, saving precious stores of muscle glycogen (the bodys preferred fuel during hard exercise) and prolonging endurance During sudden changes in energy requirement by muscles eg changes of pace or when beginning exercise - the carnitine in the muscles can assist by helping to control the build up of a substance called acetyl-CoA by forming acetyl carnitine

(PubMed) Bonvicini M, Travaglini S, Lelli D, Antonelli Incalzi R, Pedone C