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Documented effects include increased appetite (expected from ghrelin-receptor activation), mild fluid retention and lower-extremity edema, muscle pain, weight gain, raised fasting glucose, and decreased insulin sensitivity

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They also answered questionnaires about how much they drank, how often they binged on booze and how much they craved alcohol

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Conclusions In conclusion, L-Carnitine in combination with L-leucine and creatine, significantly enhanced lean muscle mass and functional strength particularly in the lower legs, likely due to an improved protein anabolism through the mTOR pathway