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This accumulation reflects not only metabolic dysfunction and oxidative stress but also suggests a broader systemic disruption that may contribute to the pathogenesis of various age-related disorders, including central nervous system diseases [59]

The consequent binding of these acyl-CoAs to l-carnitine forming the acylcarnitines allows their exit from the mitochondria, the cell, and for eventual excretion in the urine

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The body produces L-carnitine naturally, but it can also be obtained through foods such as red meat, dairy and fish