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Treating mysasthenia on a consesus guide: helpful and challenging but still unfinished business

Next, a specialized transport antiporter protein called Carnitine-Acylcarnitine Translocase (CACT) ferries this acylcarnitine complex across the impermeable inner membrane and deep into the mitochondrial matrix, while simultaneously pumping a free L-carnitine molecule back out to maintain the cycle

If you are consistently eating well below your calculated target without trying, you may be in too deep a deficit

Gajawat S, Sancheti G, Goyal PK

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