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l-carnitine also facilitates the removal of short and medium chain fatty acids from the mitochondria that accumulate during normal metabolic processes.

A preserved response to palmitoyl-L-carnitine with a reduced response to palmitate plus L-Carnitine may suggest a limitation upstream of downstream mitochondrial acylcarnitine handling, such as fatty acid delivery, acyl-CoA formation, CPT1-dependent acylcarnitine formation, or intracellular carnitine availability

Comparative Biochemistry & Physiology B Comparative Biochemistry 99 , 687691 (1991)

Carnitine transport system The transport efficiency and distribution of carnitine and its derivatives are affected by the specificities of different transporters, which vary in their expression levels and patterns in various tissues