The nuance is that the body synthesizes carnitine and most people have adequate baseline carnitine levels from dietary intake (primarily from red meat) the supplemental benefit is most pronounced in vegetarians and vegans (who have significantly lower dietary carnitine intake), older adults (whose carnitine synthesis declines with age), athletes in high-volume training (who deplete carnitine more rapidly), and anyone in a caloric deficit where fatty acid oxidation demand is elevated relative to carnitine availability.
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Alexandria J Med 54:287293
Avoidant/Restrictive Food Intake Disorder (ARFID) ARFID involves a severe pattern of avoiding certain foods or selective eating that results in failure to meet nutritional needs without the body shape or body weight concerns central to anorexia nervosa
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