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It plays an essential role in many metabolic processes, including those that convert nutrients into energy

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Before the target cells can use the fatty acids for ATP production and oxidation, the fatty acids with chain lengths of 14 or more carbons must be activated and subsequently transported into mitochondrial matrix of the cells in three enzymatic reactions of the carnitine shuttle

Butterfield DA, Poon HF, St Clair D, Keller JN, Pierce WM, Klein JB, et al

Symptom prevalence and quality of life of patients with end-stage liver disease: a systematic review and meta-analysis