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The main function of this amine/vitamin is two

[PubMed] [Google Scholar] Cruciani R.A., Dvorkin E., Homel P., Culliney B., Malamud S., Shaiova L., Fleishman S., Lapin J., Klein E., Lesage P., Portenoy R., Esteban-Cruciani N

It is tightly controlled to prevent uncontrolled fatty acid oxidation in certain types of cancer cells.[ref] Carnitine and Disease Risk (NAFLD, Brain Health, etc.) Research shows that low carnitine levels play a causal role in several chronic diseases

It is essential in the transport system that moves fatty acid molecules into the mitochondria of the cell where they are burned for fuel for energy production

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Elevated plasma carnitine levels likely inhibit endogenous production by suppressing -butyrobetaine hydroxylase, the enzyme which converts BB to carnitine (5), therefore leading to an accumulation of BB