Cardiomyopathy and carnitine levels

My cardiologist check carnitine levels as part of the lab test for mild nonischemic cardiomyopathy (EF 45%). I am 45 years old and have not other major problem except irritable bowel.
The free carnitine was 40 (limits 35-67), carnitine esters 1 (limits 3.8-19) and total 41 (limits 42 to 81).
Does that mean I am not getting enough carnitine in diet or my body does not make enough carnitine?
Any other explanations?
Would you suggest carnitine supplements?
Thanks

[Forum-M.D.-bkj]

laramark,

Thanks for the post.

There are associations with micronutrient deficiencies and inherited childhood cardiomyopathies. In the adult, these associations are more unclear. Some physicians think that supplementing those nutrients in patients deficient may help improve myocardial function. There isn't a lot of evidence one way or the other.

I tend not to  prescribe supplements without evidence, especially in patients who already are on a lot of medicines. I would hate for someone not to take a medicine that had definite benefit because they were on a large number of opther unproven meds.

I do not stop patients from taking supplements, but tend to caution them that there is also a possibility that supplements could also lead to negative consequences or side effects.

good luck

[PikaPika88]

My brother when 3 has heart sound murmur.  The doc asked my mum gave him a lot of scotch emulsion (a kind of fish oil).  Now he is 40.  He never suffer any heart problem or palp or abnormal heart sound!