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A Cleveland Clinic study led by Stanley Hazen found that carnitine, a popular athletic supplement and component of red meat, may also trigger heart disease

doi: 10.1080/10408398.2018.1524364 13 BaldiS.PagliaiG.Di GloriaL.GiangrandiI.MasottiL.SofiF.et al

Once acetoacetate reaches extrahepatic tissues, it is converted back to acetyl-CoA, which can enter the citric acid cycle to produce ATP

Malonylcarnitine (C4-OH) has also been suggested as a metabolite of interest in the context of insulin resistance and strategies to manage lipid metabolism (Schooneman et al

Epididymis and seminal vesicle as sources of carnitine in human seminal fluid: The clinical significance of the carnitine concentration in human seminal fluid