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As fumarate is further metabolized into malate and then oxaloacetate, it facilitates the production of NADH and FADH2crucial electron carriers that feed directly into the electron transport chain to maximize ATP synthesis

[26] Carnitine blood levels and muscle stores can become low, which may contribute to anemia, muscle weakness, fatigue, altered levels of blood fats, and heart disorders

L-carnitine may support fat-burning capacity during exercise and energy-restricted states, but clinical evidence in semaglutide users is limited

Compared with groups A1, 2 and 3, there was a significant decrease ( P 0.05)

MCAD presents with an increase in C6-C10 dicarboxylics in the plasma