Indications: Neurology: mitocondrial neuropathy, , cerebral palsy, hearing loss and Tinnitus, myopathy, hypotonia , prader willi syndrome, cerebellar ataxia, loss of concentration. Psychiatry: ADHD , Autism. Nephrology: Heart failure and cardiomyopathy. Metabolism: wasting syndrome (cachxia), improve controlling blood sugar, cancer related fatigue, chronic fatigue syndrome , increase body weight in low birth weight and premature infants. Preventing side effects of antiepiliptic drugs FDA. Increase testosterone in teen age group, decrease weight and improve stamina. L-Carnitine supplementation improves the behavioral symptoms in autistic children. , as directed by a qualified health care professional.