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This mechanism is called the carnitine shuttle, in which fatty acids cross the mitochondrial membranes bound to L-carnitine, forming acylcarnitine molecules that can cross the mitochondrial membrane through a transporter in exchange for free L-carnitine
And some government programs are also changing how they handle things
Longitudinal study designs are essential to determine whether a metabolic marker changes prior to increases in LV mass, following hypertrophic remodeling, or only during advanced heart failure
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