MitochondrialModerate evidence

L-Carnitine

Shuttles fatty acids into the mitochondria — the gatekeeper of fat burning. Most useful in deficiency (vegans, older adults); the acetyl form (ALCAR) targets the brain.

Also known as: l-carnitin, carnitin, l-carnitine, acetyl-l-carnitin, alcar

How it works

L-carnitine ferries long-chain fatty acids into the mitochondria, where they're burned for energy; it is thus a central transporter in fat metabolism. The body makes its own; supplementation mainly matters in deficiency (e.g. vegan, dialysis). Note: gut bacteria can convert carnitine to TMAO, which is debated for vascular risk.

Goals
EnergyCardiovascularCognition
Timing
Any time
Price tier
Low

Dosage

Typically 1–2 g/day. Acetyl-L-carnitine (ALCAR) for cognitive goals.

Considerations

The clearest benefit is in low carnitine status (vegans, older adults, certain conditions) — otherwise the body makes its own. Cardiovascular data are mixed. Note: gut bacteria can convert carnitine to TMAO, which is associated with atherosclerosis — a theoretical caveat at high doses.

VeganNot during pregnancy
Form
CapsulePowder

Scientific detail

Mechanisms
Fatty-acid transport into mitochondria (beta-oxidation)Energy supplyALCAR: CNS-penetrating form
Hallmarks of aging
Mitochondrial dysfunction
Evidence base

Studies on L-Carnitine

20,094 studies total · Open on PubMed

View all studies

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Articles on L-Carnitine