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The latter process is stimulated by carnitine and choline in a synergistic way in cells utilizing glucose as the main energetic substrate. Foster, DW, The role of the carnitine system in human metabolism. in Annals of the New York Academy of Sciences , Volume 1033, November 2004, pp 1 - 16

The lumps can be slow to resolve and, in severe cases, semi-permanent

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In contrast, dietary d-carnitine intake reduced the acyl-carnitine concentration in the body and induced lipid accumulation in the liver, which was accompanied by lipotoxicity