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doi: 10.1017/S1751731117002452

2 Structure, Distribution, and Physiological Action of the Carnitine Palmitoyltransferase System CPT1, CPT2, and carnitine-acylcarnitine translocase (CACT) play vital roles in the transport system for FA esterification in the mitochondrial membrane

The strongest version of the argument for this blend is that L-carnitine has documented effects on fatty acid transport and oxidation, tirzepatide creates a metabolic state where enhanced fatty acid oxidation could theoretically be beneficial, and combining them in a single injection is convenient

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