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It was decided to select for analysis those articles that met the following inclusion criteria: original documents, adequate to the search objectives (relationship between serum L- carnitine levels and an improvement in clinical parameters, such as a significant progress in the lipid profile, an increase in weight gain, or a reduction in hospital stay, among others), published in any country, by any institution or individual researcher, and in English or Spanish

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Figure 2 Regulation of Acetyl-CoA/CoA Ratio Under physiological conditions, carnitine can buffer excess acetyl-CoA in the mitochondria via the formation of acetyl-carnitine (33), which requires the presence of carnitine acyltransferase and carnitine acylcarnitine translocase

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