Carnitine
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Benefits of Carnitine
According to
Recent Studies
Exercise -- Carnitine improves recovery after heavy
exercise.
Carnitine may be of use in improving the exercise capacity of people with peripheral
arterial disease. Carnitine moderately improves the duration of exercise and time to recovery in patients
with chronic stable angina.
Fatigue --
Carnitine may improve
fatigue in certain conditions,
including cancer patients receiving chemotherapy.
Carnitine decreases the severity and type of fatigue
induced by interferon-alpha in the treatment of patients with hepatitis C.
Administration of carnitine to healthy elderly subjects resulted in a
reduction of total fat mass, an increase of total muscle mass, and appeared to
exert a favorable effect on fatigue and serum lipids (see study below).
Heart Failure
-- Those with heart failure may benefit from carnitine.
Kidney Dialysis -- Intravenous carnitine is an accepted pharmaceutical treatment for carnitine deficiency in
end-stage renal disease in patients undergoing dialysis.
Liver Cirrhosis
--
Treatment of patients with liver cirrhosis with the signs of
liver insufficiency is complex and seldom satisfactory. Carnitine, taking part
in liver lipid metabolism might be a potentially effective
nutrient. One study shows L-carnitine lowers the serum
ammonia concentration and improves lipid metabolism in patients with liver
cirrhosis. Carnitine may also play a beneficial role in the treatment of mild or
moderate hepatic encephalopathy.
What's the right dosage for Carnitine?
Since each person has a unique biochemistry, dosage recommendations vary. I
would recommend 500 mg or less, unless recommended by a health care
provider. Alternatively, carnitine could be taken at 500 mg a few days a week as
opposed to daily.
How Does Carnitine Work?
Carnitine and acetyl-l-carnitine play several important roles in the human
body, particularly in energy metabolism. These nutrients shuttle acetyl groups and fatty
acids into mitochondria for energy production. Without carnitine, fatty acids cannot
easily enter into mitochondria. The acetyl group of acetyl-l-carnitine is used to form
acetyl-CoA, the most important intermediary in the generation of energy from amino acids,
fats, and carbohydrates. Therefore, acetyl-l-carnitine serves as an energy reservoir of
acetyl groups and both acetyl-l-carnitine and carnitine help improve energy production.
Those who take carnitine pills often notice an increase in energy levels.
In addition to producing energy, these two nutrients remove toxic accumulations
of fatty acids from mitochondria, keeping these organelles healthy and functioning at
their best. Energy production in the mitochondria is not a perfect process and toxic
metabolites can often accumulate. Accumulation of these toxic metabolites and the
resulting oxidative damage is likely to contribute to aging of cells. A waste substance
called lipofuscin accumulates in cells as we age and perhaps adequate acetyl-l-carnitine
intake can help minimize this accumulation. A study in rats providing acetyl-l-carnitine from youth
showed this nutrient to decrease lipofuscin levels in their brain as they got old.
Therefore, it is theoretically possible that supplementation with carnitine or
acetyl-l-carnitine can slow the aging process.
Exploratory open label, randomized study of acetyl- and
propionyl-carnitine in chronic fatigue
syndrome.
Vermeulen RC, Scholte HR. Research Center Amsterdam, Amsterdam,
Netherlands.
Psychosom Med. 2004 Mar-Apr;66(2):276-82.
Carnitine versus androgen administration in the treatment of sexual dysfunction, depressed mood, and fatigue associated with male aging. Cavallini G, Caracciolo S, Vitali G et al. Urology. 2004;63:641-6.
L carnitine administration in elderly subjects with rapid muscle fatigue: effect on body composition, lipid profile and fatigue. Pistone G,. University of Catania, Catania, Italy. Drugs Aging. 2003;20(10):761-7.
Carnitine emails
Q. Your site is amazing in the amount of information given
on supplements. I've been sitting here now for two hours reading and learning
... and learning more, I might add, than I have from any other site I've been
to. Usually a site that sells supplements only gives the upside of everthing.
What caught my attention right off the bat, on your site, was the balanced
portrayal of every supplement as to the good and the not so good ... for example
"don't waste your money on HGH". I appreciate and respect that honesty and
that's what got me hooked on reading more and more. Anyway, here's the
background regarding my question. I have LASIK induced Trigeminal Neuralgia ...
the nerves in my eye were damaged during the surgery. I have found no relief
from pain with traditional medications ... seizure drugs etc. I worked with
several neurologists, neuro opthamologists and pain specialists and then stopped
the drugs altogether because the side effects were just adding to the pain which
wasn't being helped anyway. So, when I recently read about acetyl-l carnitine
helping with diabetic neuropathy and it's pain I thought I'd give it a try to
see if it would do anything with my particular nerve pain which has traveled
along the trigimenal nerve path into my brain. I have no idea, of course, if
this will do anything, but I figured I'd give it a try since they're both a type
of nerve damage. Who knows, maybe I'll stumble on to something, finally. Anyway,
at the time I read the article I just scribbled down the word carnitine never
realizing until tonight, after reading your website, that carnitine is different
from acetyl-l carnitine. From what I've read here it seems that carnitine itself
is used more by the physical body whereas acetyl-l carnitine is used by the
brain. Here's my question. I have the wrong carnitine sitting here. I will order
the acetyl-l carnitine now. Is it okay to take the two together though? And if
so, would I then cut down on the dosages for each? Or would I take the
recommended doses of both since they're used by different parts of the body?
I have just started taking the carnitine but I thought I would try it alone for
awhile, then take the acetyl-l carnitine alone for awhile, when it arrives, and
then finally try taking them both together to see if the combination might prove
more helpful in my case. But I wasn't sure if it was okay to take both together
or whether or not to cut down on the dosage if I try this experiment. Thanks for
any help you can give with my question and thanks for the wonderful website!
A. It really is very difficult to predict responses to
nutrients, and sometimes the best way is by trial and error, trying one nutrient
first, taking a break, and then trying another nutrient. There is so little
research with trigeminal neuralgia and supplements so it is unexplored
territory.
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