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However, it is possible to revert this reaction and convert L-carnitine back into ALCAR, and this frequently occurs in the cell as part of normal metabolism
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Finally, a number of inherited mutations in genes involved in carnitine shuttling and fatty acid oxidation pathways do not systematically result in carnitine depletion (such that carnitine supplementation may not help mitigate the symptoms) but lead to abnormal profiles of acylcarnitine esters in blood (35, 40)
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