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idrolisi del pirofosfato che "spinge" la reazione) conversione transitoria in acil-carnitina tramite CPT1 , passaggio attraverso il trasportatore acil-carnitina/carnitina nella membrana interna rigenerazione di acil-CoA nella matrice tramite CPT2 , con ritorno della carnitina libera

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Clinical evidence of Acetyl-L-Carnitine Efficacy in the treatment of Acute ischemic stroke: a Pilot Clinical Trial