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Long-chain acyl-CoA then binds to free carnitine in the mitochondrial outer membrane under the catalysis of carnitine palmitoyl transferase 1 (CPT1) to form LCACs
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This can most commonly be seen in polycystic ovarian syndrome (PCOS) or endometriosis
If not enough glutathione is being produced relative to the oxidative or free radical load present, then the free radicals, seeking balance, will rip holes in the neighboring cells and neuroinflammation will occur
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