L-Carnitine L-Tartrate Supplementation Favorably Affects Markers of Recovery from Exercise Stress

Three weeks of 2 g per day L-carnitine L-tartrate blunted exercise-induced rises in purine breakdown markers, malondialdehyde and cytosolic muscle proteins after a squat session, and MRI muscle disruption on carnitine was 41 to 45 percent of the placebo area.
Summary

Ten trained men took 2 g of L-carnitine a day for three weeks and a matching placebo for three weeks, then performed a high repetition squat session in each arm. Blood markers of muscle damage and oxidative stress rose less after the session on carnitine. MRI scans showed less muscle disruption and the men rated their soreness lower on days 1, 2 and 4 of recovery.

Context Note
Small sample of 10 trained men. Outcomes are recovery biomarkers and imaging rather than performance.

Study breakdown

Why this study was done

Carnitine carries long chain fatty acids into the mitochondria, where fat is burned for energy. One earlier trial reported that carnitine reduced soreness and creatine kinase, a marker of muscle damage, after hard eccentric exercise, but offered no mechanism. This team tested a specific idea: that carnitine acts on the cells lining blood vessels, improving oxygen delivery to working muscle, and that this reduces the cascade of damage after exercise.

How it was run

Ten healthy, recreationally weight trained men took part, mean age 23.7 years and mean weight 78.7 kg.

The design was a balanced, double blind, placebo controlled crossover. Each man took L carnitine L tartrate supplying 2 g of L carnitine per day, or a cellulose placebo, for three weeks, then after a one week washout repeated everything on the other treatment.

Blood was drawn on six consecutive mornings. On day two the men did five sets of 15 to 20 squat repetitions at 50% of their one repetition maximum, with blood taken before and at 0, 15, 30, 120 and 180 minutes after. Mid thigh muscle damage was measured by MRI before exercise and on days three and six, and soreness was rated on a 10 cm scale.

What they found

On MRI, disrupted muscle area was 23 plus or minus 8 percent on day three and 16 plus or minus 5 percent on day six with carnitine, against 39 plus or minus 5 percent and 29 plus or minus 6 percent on placebo.

Markers of purine breakdown, hypoxanthine, xanthine oxidase and uric acid, all rose less on carnitine (p less than or equal to 0.05). Malondialdehyde, a marker of free radical damage to cell membranes, returned to resting levels 15 minutes after exercise on carnitine but stayed raised past 180 minutes and through 24 hours on placebo.

Creatine kinase did not rise significantly at any point on carnitine. On placebo it climbed above baseline two days after exercise and kept rising. Soreness was 4.2 against 5.8 on day one, 4.9 against 5.5 on day two and 1.0 against 1.8 on day four, all significantly lower on carnitine. On day three the pattern reversed, 3.1 on carnitine against 2.1 on placebo. Blood lactate exceeded 10 mmol/l on both treatments with no difference, so the men worked equally hard.

Limitations

This is a study of ten men, so single individuals carry heavy weight in the averages. All were young, trained and male, and nothing here extends to women, older people or untrained people.

The study was funded by a grant from Lonza Inc. of Fair Lawn, New Jersey. Lonza makes the branded L carnitine L tartrate used in the trial. One of the six authors, Paula Gaynor, was employed by Lonza. The paper carries no separate competing interests declaration.

The authors are candid about their central weakness. Their hypothesis concerned blood vessel function, yet they measured neither carnitine in endothelial cells nor local blood flow, and they say so. The mechanism stays an inference.

What it means in practice

This is early mechanistic work in a small group. In ten trained young men, three weeks of 2 g of L carnitine per day was followed by less blood and MRI evidence of muscle disruption and lower soreness on three of the four days after one squat session.

It does not show improved performance. It does not show that lower damage markers translate into better training results, because that was never tested, and it does not establish the proposed mechanism. A crossover in ten people is a starting point, not a settled answer.

Study Type
Randomized Controlled Trial
Published
2002
American Journal of Physiology: Endocrinology and Metabolism
Participants
10 resistance-trained men, placebo-controlled crossover, 3 weeks per arm
Dose Studied
2 g L-carnitine per day from L-carnitine L-tartrate capsules
Health Focus
Recovery
Ingredients
L-Carnitine

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