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The accumulation of fat can lead to a dysfunction in the biosynthesis of L-carnitine (Figure 1) in the liver thus inducing a negative feedback loop, whereby less L-carnitine is produced which leads to enhanced impairment of fatty acid oxidation re-enforcing fatty liver disease
doi: 10.1002/ajmg.c.31871

Acetyl-L-carnitine is an acetylated form of L-carnitine (L-carnitine plus an acetyl group)
The action of cystine and methionine on liver fat deposition

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