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effect of ketones on l-carnitine | Linus Pauling Institute The Role of l-Carnitine in
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"Carnitine deficiency with valproic acid." Int J Clin Lab Res 1999;29:36-40

In addition, levocarnitine buffers excess intramitochondrial acyl-CoA, regenerating free coenzyme A and potentially preventing inhibition of critical metabolic enzymes
