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Elevated plasma carnitine levels likely inhibit endogenous production by suppressing -butyrobetaine hydroxylase, the enzyme which converts BB to carnitine (5), therefore leading to an accumulation of BB

It is essential in the transport system that moves fatty acid molecules into the mitochondria of the cell where they are burned for fuel for energy production

PMID: 27456757

[PubMed] [Google Scholar] Cruciani R.A., Dvorkin E., Homel P., Culliney B., Malamud S., Shaiova L., Fleishman S., Lapin J., Klein E., Lesage P., Portenoy R., Esteban-Cruciani N