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These structures can carry both water-soluble compounds in their center and fat-soluble compounds in their bilayer

Ratjen et al

L-carnitine accelerates fatty acid transport by promoting fatty acid oxidation, reducing the conversion of acetyl-CoA to Malonyl-CoA, and relieving its inhibition of CPT-I

As such, they may overlook symptoms that individuals find bothersome but less dangerous, or that occur less frequently