L-Carnitine / Lipo-C

L-Carnitine / Lipo-C (L-carnitine, ALCAR, LCLT)

In simple words

L-carnitine is a substance that carries fatty acids into the cell's "power plants," where they are burned. It is being studied for weight loss, recovery after exercise, and nerve damage; its effect on weight is small — about one kilogram.

What this molecule is

C₇H₁₅NO₃, a conditionally essential amino acid, 161 Da. Forms: L-carnitine (basic), ALCAR (acetyl-L-carnitine, crosses the BBB), LCLT (L-carnitine L-tartrate, for sports).

Why it is studied

Transporter of fatty acids across the mitochondrial membrane. Meta-analyses of 37–43 RCTs: −1.1–1.3 kg. ALCAR — neuropathy (2 RCTs, n=1257). LCLT — recovery after exercise. FDA-approved as a dietary supplement.

How it works

CPT-I transfers the acyl group → acylcarnitine across the membrane → CPT-II → β-oxidation. ALCAR: ↑acetyl-CoA in neurons → ↑ACh + ↑BDNF + ↓NF-κB (neuroprotection).

Doses used in studies

Studies used: for weight loss — 2000 mg/day orally; ALCAR for neuropathy — 500–1000 mg/day IM; LCLT (sports) — 2000 mg/day. By injection — 1000–2000 mg IM 2–3 times/week.

Combined with in studies

  • 5-Amino-1MQ — ↑NAD+ + ↑β-oxidation
  • Tesofensine — ↓appetite + ↑fat transport
  • CoQ10 — mitochondria
  • MOTS-c — AMPK synergy

Level of evidence

Level A Human clinical trials. There are randomized controlled trials (RCTs), or the compound has been approved by a regulatory agency. The most reliable level. 4 meta-analyses of RCTs. Large ALCAR RCTs.

Important to know

Honest caveat: Effect ~1.2 kg without exercise. Works only with physical activity. "Fishy" odor at >4 g/day. ALCAR taken in the evening may cause insomnia.

Studies in PubMed

  1. Effects of l-carnitine supplementation on weight loss and body composition: A systematic review and meta-analysis of 37 randomized controlled clinical trials with dose-response analysis. (Clin Nutr ESPEN, 2020)
  2. Beneficial effects of l-carnitine supplementation for weight management in overweight and obese adults: An updated systematic review and dose-response meta-analysis of randomized controlled trials. (Pharmacol Res, 2020)
  3. Acetyl-L-carnitine improves pain, nerve regeneration, and vibratory perception in patients with chronic diabetic neuropathy: an analysis of two randomized placebo-controlled trials. (Diabetes Care, 2005)
  4. L-Carnitine Tartrate Supplementation for 5 Weeks Improves Exercise Recovery in Men and Women: A Randomized, Double-Blind, Placebo-Controlled Trial. (Nutrients, 2021)
  5. l-carnitine and l-acetylcarnitine supplementation for idiopathic male infertility. (Reprod Fertil, 2020)
  6. Acetyl-L-carnitine (levacecarnine) in the treatment of diabetic neuropathy. A long-term, randomised, double-blind, placebo-controlled study. (Drugs R D, 2002)

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