It has been shown that the concentration of LC is 2000 times higher in the epididymis and sperm cells than in the plasma [65]
For example muscle has a lot of mitochondria compared to the liver
(PubMed) Termanini B, Gibril F, Sutliff VE, Yu F, Venzon DJ, Jensen RT
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Genetically predicted l-carnitine was associated with higher risk of CAD in men (OR 1.07, 95% CI 1.01 to 1.14) but not women (OR 1.02, 95% CI 0.96 to 1.09), although the difference by sex did not reach statistical significance ( p value for sex difference 0.31) (Fig