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Once in the mitochondrial matrix, carnitine palmitoyltransferase 2 (CPT2) converts acylcarnitines back into acyl-CoAs for oxidation and energy production (Figure 3

A small exploratory study in 2005 did just that

Any use outside approved indications would be considered off-label prescribing, which requires careful clinical justification and informed patient consent

Research Overview L-carnitine is a naturally occurring quaternary ammonium compound synthesized from the amino acids lysine and methionine