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When fatty acid is catalyzed by acyl-CoA-synthatase to produce acyl-CoA, it is transported by carnitine acyl-CoA transferase I into the membrane

Low red meat consumers: L-carnitine is primarily found in red meat, making supplementation valuable for anyone limiting animal protein intake or following plant-forward diets

It undergoes extensive first pass metabolism, with bioavailability varying between 5 to 50% and 51 to 87%

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Chronic stress, environmental toxins (such as [8] heavy metals ), or a lack of protective antioxidants (like vitamin C), can all affect mitochondria health