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Carnitine, -Oxidation and Health Deficiencies in any of the enzymes associated with the metabolism of carnitine and acylcarnitines that inhibit the formation of the latter can cause an accumulation of acyl-CoA of certain chain-lengths, and these be toxic if they are not removed by some means

Zhang XJ, Ji YX, Cheng X, Cheng Y, Yang H, Wang J, et al

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