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They improve the sperms ability to penetrate the cumulus cells and increase resistance to zona pellucida hydrolysis, making the zona harder and reducing multiple sperm fertilization

However, after twenty years of research, there still hasn't been any consistent evidence that dietary supplements containing carnitine can actually improve the physical performance of healthy subjects

doi:10.1038/emboj.2011.105, PMID: 21478822 Trachootham D, Lu W, Ogasawara MA, Nilsa RD, Huang P (2008) Redox regulation of cell survival

The treatments have been given for 30 days and were orally administered

In liver, accumulation of lipids contributes to the pathogenesis of non-alcoholic fatty liver disease and to insulin resistance