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Thus, carnitine is required to transport fatty acyl groups into mitochondria and to remove any surplus of acyl groups, as well as to export acetyl- and other short-chain acyl groups from peroxisomes via the actions of a short-chain acyl-CoA-specific carnitine acetyltransferase and a medium chain-specific carnitine octanoyltransferase

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They suggest we may not need another booster in quite some time (i.e., a period of years)but well have to wait and see

If SAM is a major regulator of the foxo-MsrA axis, we could explain the Met specificity for the regulation of MsrA expression