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Since L-carnitine is related to acetyl-L-carnitine, there is a concern that this might also occur with acetyl-L-carnitine

The carnitine system and its implication in cancer cells metabolic plasticity The use of diet-derived or adipose tissue-released long-chain fatty acids as energy substrates requires about 25 different enzymes and transport proteins, which carry out fatty acids, import, them into mitochondria, and facilitate the -oxidation steps

The following mechanisms may be proposed based on the findings of these diverse studies

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Take one tablet with liquid once a day, preferably one hour before exercise