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It detaches the L-carnitine and releases the long-chain fatty acid back to a mitochondrial Coenzyme A

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[DOI] [PMC free article] [PubMed] [Google Scholar] 52.Czabotar P.E., Westphal D., Dewson G., Ma S., Hockings C., Fairlie W.D., Lee E.F., Yao S., Robin A.Y., Smith B.J., et al

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However, the mode of supplementation must be carefully considered, as described previously in this review

When you consistently miss this stage, the downstream metabolic consequences are well-documented