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This indicates that carnitine is involved in the partition between lipid and carbohydrate use

doi:10.2174/1381612828666220620160516 Inoue K, Ritz B, Brent GA, Ebrahimi R, Rhee CM, Leung AM

Pleiotropic effects of the carnitine pool Carnitine can be combined with fatty acid chains of different lengths to derive a variety of acylcarnitines, which are amphiphilic because they contain hydrophilic quaternary ammonium groups and hydrophobic carbon chains [5], and acylcarnitines of different chain lengths have diverse chemical structure and metabolic pathways, making them widely involved in pathophysiology

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PMID 32958033