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Thus treatment with L-carnitine enables CPT I to transfer the acyl groups from acyl-CoAs to free carnitine, yielding acylcarnitine esters, which prevents the accumulation of, and subsequent damage from, high levels of acyl-CoAs [19]

Ethics declarations Conflict of Interest Diego Maria Michele Fornasari received fees as congress speaker or consultant from the following pharmaceutical companies: Angelini, Abiogen, Alfasigma (the manufacturer of acetyl-l-carnitine), Chiesi, Istituto Gentili, Grunentahl, Molteni, Sandoz, SPA, Viatris, Zambon

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