l Carnitine and synbiotic co supplementation: beneficial effects on metabolic endotoxemia, meta inflammation, and oxidative stress biomarkers in obese patients: a double blind, randomized, controlled clinical trial Food & Function (RSC Publishing) There's a reason L carnitine keeps showing up in PCOS research Because PCOS is closely tied to insulin resistance, inflammation, and metabolic dysfunctionand L carnitine plays a role in energy metabolism and fat utilization. The intestinal microbial metabolite acetyl l carnitine improves gut inflammation and immune homeostasis via CADM2 ScienceDirect Spring Valley Acetyl L Carnitine HCI 400 mg + Alpha Lipoic Acid 200 mg Capsules, 50 Count HSA FSA Eligible Walmart.com