l-carnitine vs meldonium Carnitine and γ‐Butyrobetaine Stimulate Elimination of due to Competition for OCTN2‐mediated Transport - Liepinsh - 2017 - Basic & Clinical Pharmacology & Toxicology Meldonium - Wikipedia
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International Society of Sports Nutrition

It is found in tiny amounts in plant-sourced foods, primarily green vegetables (7)

When keto adapted this is very different than when you are a sugar burner

Autophagy deficiency in neurons results in buildup of ubiquitinated proteins, dystrophy of neural terminals, impairments in synaptic transmission, and eventually, neurodegeneration observed in both neurodegenerative and neurodevelopmental disorders [245, 249, 250]
Nguyen, D

Additionally, the expression levels of nf-b and il-1 were remarkably upregulated in the gut and liver of fish fed HFD 19
