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It is a substrate: cells need it to run the electron transport chain, generate ATP, and activate a class of repair enzymes called sirtuins and PARPs

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Furthermore, even increases over 120% of muscle l-carnitine concentration were not able to modify long-chain fatty acid uptake, fat content, and carnitine palmitoyltransferase I and II (CPT I and II) activity in the skeletal muscle of control animals

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Taking this diabetes drug might reduce your bodys ability to absorb vitamin B12