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doi: 10.18240/ijo.2016.10.19

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This mechanism is called the carnitine shuttle, in which fatty acids cross the mitochondrial membranes bound to L-carnitine, forming acylcarnitine molecules that can cross the mitochondrial membrane through a transporter in exchange for free L-carnitine

L-Carnitine is actually a transport molecule responsible for transporting fatty acids to the mitochondria to be metabolized, which theoretically means a reduction in its bodily levels could compromise the bodys ability to metabolize fatty acids perhaps increasing the likelihood they end up stored on the liver

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