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[DOI] [PubMed] [Google Scholar] 59.Hughes V.A., Frontera W.R., Wood M., Evans W.J., Dallal G.E., Roubenoff R., Fiatarone Singh M.A

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In a prospective cohort study in over 4,000 participants with suspected angina pectoris, elevated concentrations of certain acylcarnitine intermediates in blood were associated with fatal and non-fatal acute myocardial infarction (58)

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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