l carnitine l tartrate ncbi l-Carnitine Supplementation in Recovery after Exercise L-Carnitine and Male Fertility: Is
Description
D-Carnitine is not biologically active and may interfere with L-Carnitine, potentially leading to a deficiency

Some studies show the benefits of L-carnitine in men with blood circulation or metabolic issues[4]

Collado M, Gil J, Efeyan A, Guerra C, Schuhmacher AJ, Barradas M, et al

The many faces of cobalamin (Vitamin B12) deficiency
