<s>[INST] Hi, I had low Pyruvic Acid and the ratio to Lactic Acid was bad, but my Carnitine was good yet my doctor gave me levocarnitine treatment, how would this address the problem? I read that low levels of Pyruvate can give a form of anemia because the cells break too fast so the organs dont get good oxygen. I have been suffering from energy fatigue and strong headaches that seem to be from bad metabolism of something, its like a burning sensation in the eyes and frontal area, could the carnitine help with this? Thanks. [/INST] Levocarnitine is used to prevent and treat a lack of carnitines. It is used to prevent and treat this condition in patients with kidney disease on dialysis. It is given to people whose body cannot properly use carnitine from their diet. Lack of carnitine can lead to liver, heart, and muscle problems. Your doctor may treat lack of carnitine by prescribing levocarnitine for you. Pyruvic acid levels alone have little clinical utility. Abnormal concentrations of pyruvic acid, and lactate-to-pyruvate (L:P) ratios, are not diagnostic for a particular disorder but must be interpreted clinical presentation(symptoms) A low L:P ratio is observed in inherited disorders. Your Doc. Who has examined you are the best judge as per your clinical symptoms </s>