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Other substances favoured by athletes include drugs that act as vasodilators (such as meldonium), increasing the flow of blood

Ingold I, Aichler M, Yefremova E, Roveri A, Buday K, Doll S et al (2015) Expression of a catalytically inactive mutant form of glutathione peroxidase 4 (Gpx4) confers a dominant-negative effect in male fertility

Hence the vegetarians who strictly avoid these products generally do not get enough carnitine from their diet