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The ischemic phase induces cellular metabolic disturbance due to glycogen consumption, ATP depletion, and lack of oxygen supply, whereas the reperfusion phase results in metabolic disturbance and an unusual immune-inflammatory response that involves both direct and indirect cytotoxic mechanisms (Zhai et al., 2013)

Acetyl-L-carnitine to enhance nerve regeneration in carpal tunnel syndrome: a double-blind, randomized, controlled trial

[3] The total body content of carnitine is about 20 grams (0.71 oz) in a person weighing 70 kilograms (150 lb), with nearly all of it contained within skeletal muscle cells

Individual variation: Individual responses to L-carnitine supplementation can vary based on diet, genetics, and health status