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Its very important to check for detectable factors that cause fatigue, such as anemia, depression, or a pain flare up, says Karst
Genes Cancer 2 , 475484 (2011)
The fatty acids have to undergo activation in the cytosol by getting converted to fatty acyl CoA to pass though the mitochondrial membrane with the help of carnitine (present as L-carnitine , the active stereoisomer) after which they undergo -oxidation in the mitochondria
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