Three nutritional products that have very different mechanisms of acti
on are antioxidant vitamins, carnitine, and choline. Antioxidant vitam
ins do not appear to have a direct effect on physical performance in w
ell-fed people but have been touted for their ability to detoxify pote
ntially damaging free radicals produced during exercise. Carnitine pur
portedly enhances lipid oxidation, increases VO(2)max, and decreases p
lasma lactate accumulation during exercise. However, studies of carnit
ine do not generally support its use for ergogenic purposes. Choline s
upplements have been advocated as a means of preventing the decline in
acetylcholine production purported to occur during exercise; this dec
line may reduce the transmission of contraction-generating impulses ac
ross the skeletal muscle, an effect that could impair one's ability to
perform muscular work. However, there are no definitive studies in hu
mans that justify choline supplementation. Much of the scientific data
regarding the aforementioned nutrients are equivocal and contradictor
y. Their potential efficacy for improving physical performance remains
largely theoretical.