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Cell 165 , 111124 (2016)

These BCKA Carnitine complexes are taken up by the liver for further oxidation to yield energy or for production of glucose (Gluconeogenesis) 4

In addition, one father had Graves disease, one mother had CD and two children had second-degree relatives with T1D (two grandmothers) (Table 1)

Using microorganisms such as yeast, Aspergillus, Penicillium, and Rhizopus for liquid submerged culture or solid-state fermentation can lead to the accumulation of L-carnitine