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Most importantly, it facilitates the transport of long-chain fatty acids into the mitochondria for use in ATP production

(PubMed) Osio M, Muscia F, Zampini L, et al

Essentially, CoA needs to be at the right amount in the mitochondria.[ref] Recent research shows that carnitine, as acetylcarnitine, helps to improve mitochondrial biosynthesis and overall function

Miyagawa T, Kawamura H, Obuchi M, Ikesaki A, Ozaki A, Tokunaga K, Inoue Y, Honda M
