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Key sources include: Red meat such as beef, lamb, and pork Poultry including chicken and turkey Fish like cod, salmon, and tuna Dairy products such as milk, cheese, and yogurt Plant-based sources including avocados, soybeans, and tempeh Because plant sources contain much lower amounts of L-carnitine, vegetarians and vegans may struggle to obtain sufficient levels through diet alone

In the cGMP-dependent pathway, NO activates an enzyme called soluble guanylate cyclase (GC) (Tiidus et al., 2012)

The researchers found that patients on L-carnitine supplementation had resolution of myalgias after five to six days