Pathobiological Relationship of Excessive Dietary Intake of Choline L Carnitine: A TMAO Precursor Associated Aggravation in Heart Failure in Sarcopenic Patients l Carnitine and heart disease ScienceDirect Primary carnitine deficiency cardiomyopathy International Journal of Cardiology lCarnitine therapy improves right heart dysfunction through Cpt1dependent fatty acid oxidation Agrawal 2022 Pulmonary Circulation Wiley Online Library Levocarnitine, commonly known as L Carnitine, is a naturally occurring compound that the body produces from the amino acids lysine and methionine. It plays a critical role in energy production by transporting fatty