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After a single levocarnitine injection or IV infusion, peak plasma concentrations are typically reached within minutes, and the effects on cellular metabolism can last 1272 hours depending on the dose and your individual metabolic rate

Elevated ketone bodies are also found in pathological conditions such as uncontrolled diabetes and alcoholic ketoacidosis, where the levels reach as high as 20 mM) (Fery and Balasse, 1985

J Physiol (Lond) 1999;517:121134

During high-intensity or aerobic performances (where it is important to mainly oxidize fats while preserving glycogen), Carnitine is activated, binding to fatty acids, allowing their beta-oxidation and thus producing energy