Because the heart relies almost exclusively on fatty acid oxidation for its massive energy needs, carnitine supplementation also provides vital cardiovascular and autonomic support, which is particularly relevant for patients managing the complex symptoms of Postural Orthostatic Tachycardia Syndrome (POTS): Cardiovascular Strain: By ensuring a steady supply of long-chain fatty acids to the cardiac mitochondria, L-carnitine supports healthy heart muscle function and improves the heart's ability to pump efficiently under stress
Eisner (Fellow of the American College of Emergency Physicians), Mikael Ryden (Karolinska Institutet), Heiichiro Udono (Okayama University), Naoto Hirano (University of Toronto), and Masahiko Endo (Hirosaki University) for their critical reading of the manuscript
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