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Description
The enzyme acyl-CoA synthase converts long chain fatty acids to fatty acyl-CoAs, which are subsequently converted to acylcarnitines by the enzyme carnitine palmitoyltransferase I (CPT I) localized in the outer mitochondrial membrane [1, 43]

l-carnitine maintains acetylated CoA to free CoA ratio within the mitochondria

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This therapy is particularly relevant because it targets the underlying cellular defects common in these conditions

Hence the difference in color
