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[3] L-carnitine transports long-chain fatty acids across the inner mitochondrial membrane as acyl-carnitine esters, permitting -oxidation and ATP generation while simultaneously buffering toxic acyl-CoA accumulation

doi:10.1111/papr.12902 Vogler B, Rapoport AM, Tepper SJ, Sheftell F, Bigal ME

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Some evidence also points to potential anti-aging and muscle-preserving effects when paired with exercise and proper nutrition

As NAD+ levels drop with age, so does mitochondrial function, DNA repair, and your bodys ability to manage inflammation and oxidative stress