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Without adequate carnitine, long-chain fatty acids the primary fuel source for low to moderate intensity aerobic activity cannot cross the mitochondrial membrane and cannot be oxidized for energy

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Bartels GL, Remme WJ, Pillay M, Schonfeld DHW, Kruijssen D (1994) Effects of l-propionylcarnitine on ischemia-induced myocardial dysfunction in men with angina-pectoris