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J Mol Med (Berl) (2020) 98:123544

You explain mitochondrial oxidation, the L-Carnitine facilitating clearance of fat that was released in the final sessions
This imbalance is further amplified by portosystemic shunting, which allows unmetabolized estrogens to bypass hepatic clearance, and by enhanced peripheral aromatization of androgens to estrogens in adipose tissue
