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In the presence of the enzyme carnitine acyltransferase I [also called as carnitine palmitoyltransferase I ( CPT-I )] present on the outer mitochondrial membrane,fatty acids get attached to the hydroxyl group of carnitine to form fatty acyl-carnitine

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This makes energy enhancement one of the key l carnitine l tartrate uses, not just for athletes but also for people with chronic fatigue, low stamina, or those undergoing lifestyle changes