{"id":245123,"date":"2025-07-07T11:25:14","date_gmt":"2025-07-07T11:25:14","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/245123\/"},"modified":"2025-07-07T11:25:14","modified_gmt":"2025-07-07T11:25:14","slug":"why-the-l-carnitine-sport-supplement-is-controversial-2","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/245123\/","title":{"rendered":"Why the L-carnitine sport supplement is controversial"},"content":{"rendered":"<p>            <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/07\/man-in-gym.jpg\" alt=\"man in gym\" title=\"Credit: Pixabay\/CC0 Public Domain\" width=\"800\" height=\"530\"\/><\/p>\n<p>                Credit: Pixabay\/CC0 Public Domain<\/p>\n<p>Sport supplements are <a href=\"https:\/\/time.com\/6269198\/pre-workout-powders-health-risks\/\" target=\"_blank\" rel=\"noopener\">hard to get away from<\/a> if you like to exercise regularly. Even if you&#8217;re not interested in them, there&#8217;s a <a href=\"https:\/\/www.foodmanufacture.co.uk\/Article\/2022\/05\/11\/2022-sports-nutrition-trends\" target=\"_blank\" rel=\"noopener\">good chance your gym<\/a> will have posters extolling their virtues or your sporty friends will want to talk to you about them.<\/p>\n<p>It can be hard to know what supplements to take as there is a lot of <a href=\"https:\/\/www.uhhospitals.org\/blog\/articles\/2022\/10\/sports-nutrition-supplements-do-they-work\" target=\"_blank\" rel=\"noopener\">mixed information<\/a> out there. L-carnitine is among the more <a href=\"https:\/\/bmcmedicine.biomedcentral.com\/articles\/10.1186\/s12916-022-02477-z\" target=\"_blank\" rel=\"noopener\">controversial supplements<\/a>. While there is evidence it <a href=\"https:\/\/journals.physiology.org\/doi\/full\/10.1152\/ajpendo.00277.2001\" target=\"_blank\" rel=\"noopener\">supports muscle recovery<\/a> and enhances exercise performance, research has also shown it can <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00394-021-02572-6\" target=\"_blank\" rel=\"noopener\">contribute to cardiovascular disease<\/a>.<\/p>\n<p>In a <a href=\"https:\/\/doi.org\/10.1002\/mnfr.70166\" target=\"_blank\" rel=\"noopener\">new study<\/a>, my colleagues and I found it may be possible to counter the negative effects of L-carnitine by eating <a href=\"https:\/\/medicalxpress.com\/tags\/pomegranate\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">pomegranate<\/a> with it.<\/p>\n<p>First, it&#8217;s important to understand what L-carnitine is. Your body produces a small amount of L-carnitine naturally. This happens in the kidneys, liver and brain.<\/p>\n<p>When L-carnitine was first identified in humans in 1952, it was thought to be a vitamin and it was referred to <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/9783527681754.ch14#:~:text=Summary,it%20is%20used%20as%20osmoprotectant.\" target=\"_blank\" rel=\"noopener\">as vitamin BT<\/a>. After years of research on this compound, L-carnitine is now considered a quasi-vitamin because, for most people, the human body can produce enough L-carnitine itself.<\/p>\n<p>L-carnitine can be bought as a <a href=\"https:\/\/medicalxpress.com\/tags\/dietary+supplement\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">dietary supplement<\/a>, but the nutrient is also added to <a href=\"https:\/\/medicalxpress.com\/tags\/energy+drinks\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">energy drinks<\/a> and some protein powders by manufacturers to try and enhance the value of their products. Manufacturers normally clearly state it on the product if it contains L-carnitine\u2014it&#8217;s not something a company will try to hide.<\/p>\n<p>Some foods naturally contain L-carnitine, such as <a href=\"https:\/\/www.health.harvard.edu\/blog\/new-study-links-l-carnitine-in-red-meat-to-heart-disease-201304176083\" target=\"_blank\" rel=\"noopener\">meat<\/a> and in tiny amounts in <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0022030221007244\" target=\"_blank\" rel=\"noopener\">dairy products<\/a>. L-carnitine is not fed to livestock but it is present in muscle tissue. L-carnitine was first found in meat in 1905. It is for this reason that the name carnitine <a href=\"https:\/\/journals.physiology.org\/doi\/full\/10.1152\/ajpendo.00277.2001\" target=\"_blank\" rel=\"noopener\">is derived from<\/a> the Latin word carnis, meaning &#8220;of the flesh.&#8221;<\/p>\n<p>                                                                                                                                                                                                The harmful effects of L-carnitine supplements<\/p>\n<p>It is not thought to be intrinsically harmful. Your <a href=\"https:\/\/medicalxpress.com\/tags\/gut+microbes\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">gut microbes<\/a> are to blame for the risks associated with L-carnitine.<\/p>\n<p>Less than 20% of L-carnitine supplements <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15591001\/\" target=\"_blank\" rel=\"noopener\">can be taken in by<\/a> the human body. The unabsorbed L-carnitine travels down the gastrointestinal tract and reaches the colon. The colon is home to <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1756283X13482996\" target=\"_blank\" rel=\"noopener\">trillions of microbes<\/a>, including bacteria, viruses and fungi.<\/p>\n<p>When the remaining 80% of the L-carnitine supplement arrives in the colon, the microbes start absorbing the nutrient and they use it to produce something else: <a href=\"https:\/\/www.acs.org\/molecule-of-the-week\/archive\/t\/trimethylamine.html#:~:text=Trimethylamine%20(TMA)%20is%20the%20simplest,distillation%20product%20of%20sugarbeet%20residues.\" target=\"_blank\" rel=\"noopener\">trimethylamine<\/a> (TMA). TMA is a compound the human body can efficiently absorb, and that is where the potentially <a href=\"https:\/\/medicalxpress.com\/tags\/harmful+effects\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">harmful effects<\/a> of L-carnitine supplements arise.<\/p>\n<p>Once the body absorbs TMA, it goes to the liver via the blood stream. The liver converts TMA to <a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/trimethylamine-oxide\" target=\"_blank\" rel=\"noopener\">trimethylamine N-oxide<\/a> (TMAO). Research has shown that <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0002916522000247?via%3Dihub\" target=\"_blank\" rel=\"noopener\">high levels of TMAO<\/a> in the blood can contribute to <a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa1109400\" target=\"_blank\" rel=\"noopener\">cardiovascular disease<\/a>.<\/p>\n<p>For example, a research group at the Cleveland Clinic in the US <a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.116.025338\" target=\"_blank\" rel=\"noopener\">gave human participants<\/a> a nutrient similar to L-carnitine that is also converted into TMA by gut microbes. The researchers found that the nutrient caused an increased risk of thrombosis (blood clots) in their participants.<\/p>\n<p>L-carnitine itself is a beneficial nutrient. When it is produced by our bodies, which happens in the kidneys, brain and liver, it&#8217;s not metabolized by the gut microbiota and isn&#8217;t converted to TMAO. Your body can absorb more L-carnitine from meat than from supplements, which makes it less harmful as that means less of it ends up in the colon.<\/p>\n<p>                                                                                                                                            Dietary intervention can reduce harmful effects<\/p>\n<p>In my team&#8217;s lab at the Quadram Institute in Norwich, England, we simulated what happens when the L-carnitine supplement reaches the microbes in the colon. We fed a culture of gut microbes with L-carnitine and measured the TMA that the microbes produced.<\/p>\n<p>Then, we fed a culture of gut microbes with L-carnitine together with a <a href=\"https:\/\/pubs.acs.org\/doi\/10.1021\/acs.jafc.5b02062\" target=\"_blank\" rel=\"noopener\">pomegranate extract<\/a>, which is rich in <a href=\"https:\/\/www.healthline.com\/nutrition\/polyphenols#:~:text=Polyphenols%20are%20beneficial%20plant%20compounds,polyphenolic%20amides%2C%20and%20other%20polyphenols.\" target=\"_blank\" rel=\"noopener\">polyphenols<\/a>. Polyphenols are plant compounds with antioxidant, antimicrobial, and anti-inflammatory properties that may help keep you healthy and protect you against diseases.<\/p>\n<p>The main polyphenols in pomegranate belong to a group called <a href=\"https:\/\/www.sciencedirect.com\/topics\/agricultural-and-biological-sciences\/ellagitannin\" target=\"_blank\" rel=\"noopener\">ellagitannins<\/a>, a type of polyphenol that can reach the colon almost entirely intact, where they can interact with the <a href=\"https:\/\/medicalxpress.com\/tags\/gut+microbiota\/\" rel=\"tag noopener\" class=\"textTag\" target=\"_blank\">gut microbiota<\/a>. When we measured the TMA that the gut microbes produced in the second experiment, we saw much less TMA.<\/p>\n<p>Our experiments in the lab show that a polyphenol-rich pomegranate extract can reduce microbial TMA production and eliminate the potentially harmful effects of L-carnitine supplements.<\/p>\n<p>Our laboratory experiments showed that the pomegranate extract can reduce the production of TMA. Ellagitannins are also abundant in other fruits and nuts, such as raspberries and walnuts. So, if you take L-carnitine supplements, our research suggests that it may be a good idea to include ellagitannin-rich foods in your diet. Eating more fruits and nuts can be good for your health, so including these in your diet will probably be beneficial anyway.<\/p>\n<p>Our group is now moving the science outside of the lab. <a href=\"https:\/\/quadram.ac.uk\/tessa\/\" target=\"_blank\" rel=\"noopener\">We are testing<\/a> in human participants how effective the pomegranate extract is at reducing TMAO production from L-carnitine supplements. This study will tell us whether taking an L-carnitine supplement along with a pomegranate extract may be better than taking the supplement on its own.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\tProvided by<br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/medicalxpress.com\/partners\/the-conversation\/\" target=\"_blank\" rel=\"noopener\">The Conversation<\/a><br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"icon_open\" href=\"https:\/\/theconversation.com\" target=\"_blank\" rel=\"nofollow noopener\"><\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a><\/p>\n<p class=\"article-main__note mt-4\">\n                                                This article is republished from <a href=\"https:\/\/theconversation.com\" target=\"_blank\" rel=\"noopener\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/why-the-l-carnitine-sport-supplement-is-controversial-219520\" target=\"_blank\" rel=\"noopener\">original article<\/a>.<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/07\/1751887514_35_count.gif\" alt=\"The Conversation\" width=\"1\" height=\"1\"\/>\n                                            <\/p>\n<p>\n                                                 <strong>Citation<\/strong>:<br \/>\n                                                 Why the L-carnitine sport supplement is controversial (2025, July 6)<br \/>\n                                                 retrieved 7 July 2025<br \/>\n                                                 from https:\/\/medicalxpress.com\/news\/2025-07-carnitine-sport-supplement-controversial.html\n                                            <\/p>\n<p>\n                                            This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no<br \/>\n                                            part may be reproduced without the written permission. The content is provided for information purposes only.\n                                            <\/p>\n","protected":false},"excerpt":{"rendered":"Credit: Pixabay\/CC0 Public Domain Sport supplements are hard to get away from if you like to exercise regularly.&hellip;\n","protected":false},"author":2,"featured_media":245124,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4318],"tags":[105,1555,1554,1556,1553,1552,1557,4434,16,15],"class_list":{"0":"post-245123","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-nutrition","8":"tag-health","9":"tag-health-research","10":"tag-health-research-news","11":"tag-health-science","12":"tag-medicine-research","13":"tag-medicine-research-news","14":"tag-medicine-science","15":"tag-nutrition","16":"tag-uk","17":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/114811707311529375","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/245123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=245123"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/245123\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/245124"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=245123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=245123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=245123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}