L-carnitine is thought to reduce muscle cell damage and ultimately reduce the production of inflammatory proteins in patients and athletes by increasing intracellular membrane stability [13]
GLP-1 Agonists and Blood Pressure: A Review of the Evidence
Xie J, Gong L, Zhu S, Yong Y, Gu Z, Zhao Y
L-Carnitine remains an important area of study across multiple fields including exercise science, mitochondrial biology, metabolism research, cardiovascular research, and healthy aging
Microdosing was not part of those studies
The titration schedule exists primarily to reduce gastrointestinal side effects such as nausea, vomiting, and diarrhea, which are more common during dose escalation