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It signals your pituitary to make and release your own growth hormone

In studies, l-carnitine has demonstrated the ability to promote oxygenation of heart muscle and maintain healthy enzyme activity, support cardiovascular energy, enhance exercise recovery, and maintain healthy lipid metabolism.* Uses For l-Carnitine Cardiovascular Support: A randomized double-blind placebo-controlled trial involving 101 volunteers indicated that l-carnitine maintained healthy lipid peroxide and lactate dehydrogenase cardiac enzyme activity

This tube is called an endoscope