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It influences the conversion of eumelanin (darker pigment) to pheomelanin (lighter pigment) at a biochemical level

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10.1038/nrc2544 26 BykovV

In chronic heart disease patients, L-carnitine administration over 12 months has been shown to attenuate left ventricular dilatation and prevent ventricular remodeling while reducing incidence of chronic heart failure and death

This was confirmed in their larger follow-up trial [21]