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L-carnitine is a quaternary amine which has different biological roles including: mitochondrial long-chain fatty acid oxidation, activation of aerobic glycolisis, enhancement of respiratory chain function, buffering of the mitochondrial acyl CoA/CoA couple, scavenger system for acyl groups peroxisomal fatty acid oxidation, branched amino acid metabolism, membrane stabilization, and donor of acetyl groups for biosynthesis 5

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Three-year survival of patients with heart failure caused by dilated cardiomyopathy and L-carnitine administration

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