Abramowicz · International journal of sport nutrition and exercise metabolism 2005 · randomized double-blind crossover trial · n=12

Effects of acute versus chronic L-carnitine L-tartrate supplementation on metabolic responses to steady state exercise in males and females.

Cited 22 times in the scientific literature.

Level 2 - randomized trial

Randomized, double-blind crossover trial

PubMed 16286670 · doi:10.1123/ijsnem.15.4.386 · record verified 2026-08-30

What was done

Twelve healthy active adults (6 men, 6 women) completed 60 minutes of steady-state exercise at 60% VO2max on three separate occasions under randomized, double-blind crossover conditions. Participants received acute L-carnitine L-tartrate (LCLT), chronic LCLT, or placebo. Diet and exercise were replicated for 2 days before each trial, and substrate oxidation rates along with hematological responses were measured.

What was found

In males, the rate of carbohydrate (CHO) oxidation differed significantly between placebo and chronic trials (P = 0.02) but not between placebo and acute trials (P = 0.70). Total CHO oxidation in males was higher following chronic supplementation versus placebo (mean ± SD: 93.8 ± 17.3 g/hr vs. 78.2 ± 23.3 g/hr). In females, no significant differences were observed in CHO oxidation rate or total CHO oxidation across trials. Neither sex showed effects on fat oxidation or hematological responses.

Why it matters

This study shows that chronic L-carnitine supplementation can shift substrate use toward increased carbohydrate oxidation during steady-state exercise in males, directly challenging common assumptions that carnitine promotes fat oxidation.

Limits

The sample size is very small (n = 12 total, 6 per sex subgroup), limiting statistical power. The abstract does not specify the exact dosages or duration of the chronic supplementation protocol.

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