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Why acylcarnitines are required is still relatively obscure, but they may take part in a carnitine shuttle system in mitochondria analogous to that in animal cells, and they have been associated with anabolic pathways of lipid metabolism during development, including the biosynthesis of membrane and storage lipids

ECS is involved in pain, inflammation, metabolic and cardiovascular dysfunctions, general immune responses (asthma, allergy, and arthritis) and tumor expansion, both/either in the brain and/or in the periphery

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Although previous studies have shown L-carnitine to have cardioprotective effects [47], recent studies have also shown that derivatives of L-carnitine may have adverse consequences on cardiovacular health