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Mechanism of Action L-Carnitine transports long-chain fatty acids into mitochondria via CPT1/2 and the carnitine-acylcarnitine translocase, generating acetyl-CoA for the TCA cycle and ATP production

Any dysfunction in this chain of events caused by lack of cofactors or mitochondrial dysfunction would lead to reduced ATP formation and increased ROS, Ca 2+ and long chain fatty acid acyls and acylcarnitine buildup

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