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A systematic review and meta-analysis of propionyl-L-carnitine effects on exercise performance in patients with claudication
The process is driven in part by genes in what's known as the "mitochondrial respiratory chain complex," a group of enzymes that help convert oxygen, sugar, and proteins into ATP through a process called oxidative phosphorylation
"Carnitines and its congeners: a metabolic pathway to the regulation of immune response and inflammation." Ann N Y Acad Sci 1033: 132-138

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