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Based on the above research and analysis, it has been found that the high-altitude, low-pressure and low-oxygen environment may have a significant impact on the health of the male reproductive system, resulting in a decrease in the number of sperm, reductions in sperm motility and viability, an increase in the rate of sperm abnormalities, an increase in germ cell apoptosis and increased disorders of sex hormone secretion [54, 55]

Gorilla Mode AR (androgen receptor) is a L-Carnitine L-Tartrate standalone supplement that can be used to possibly aid in androgen receptor upregulation and fatty acid mobilization

However, due to limitations in methodology and potential bias, the certainty of the evidence is low

J Reprod Infertil 2018

Increased Blood Flow and Oxygen Delivery L-Carnitine has been shown to favorably affect the production of nitric oxide which is the major facilitator of blood flow to the muscles during the workout

Conclusion In the battle of L-Citrulline vs L-Arginine, the winner depends on your goal, but L-Citrulline offers more consistent performance benefits