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Specifically, in a prospective cohort study, l-carnitine was associated with higher risk of prevalent coronary artery disease, peripheral artery disease, and overall CVD, possibly mediated by its intestinal metabolite, TMAO [5]
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To help illustrate this further, you can look at L-carnitine in the sense that it aids in the transportation of fatty acids into the mitochondria (the powerhouse of the cell), allowing for an increase in usable energy to fuel your day or training session
1 2 "Carnitine status of lactoovovegetarians and strict vegetarian adults and children"
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