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Studies in rams showed that Se supplementation increased testosterone levels, sperm motility, volume, and concentration, decreased the percentage of abnormal sperm, dead sperm, or sperm with acrosome damage, and increased scrotal circumference (183)

Those who may benefit most include: Athletes and fitness enthusiasts seeking to optimise fat burning and recovery Individuals following a vegetarian or vegan diet, who may have lower baseline carnitine levels due to limited dietary intake from red meat People experiencing persistent fatigue or low energy despite adequate rest Those with metabolic conditions that impair natural carnitine synthesis Individuals undergoing structured weight management programmes Older adults, as natural carnitine production tends to decline with ageing People with certain kidney conditions who require medically supervised carnitine replacement How to Use L-Carnitine for Best Results

Efficacy of l-carnitine supplementation for improving lean body mass and physical function in patients on hemodialysis: A randomized controlled trial

Many of the conducted trials have not been a double-blind design, which reduces the risk of bias

Levocarnitine-Pregnancy and breastfeeding warnings