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However, the exact cause of these symptoms remains unclear, and, like most pathophysiological mechanisms, the underlying mechanisms have yet to be confirmed

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"Beneficial effects of l-carnitine supplementation for weight management in overweight and obese adults: An updated systematic review and dose-response meta-analysis of randomized controlled trials." Pharmacological Research, January 2020, Brass, E P

S9), with no difference by sex

Acyl-CoA for the short-chain acylation could also be produced by other acyl-CoA via carboxylases

2007;21(suppl 1):31-38