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Carnitine is an essential amino acid responsible for transporting fatty acids into the mitochondria, the energy-producing centres of cells

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And thats why you see a lot of deficiencies from the resulting calorie restriction

Cantoni, G

While its best-known role is in erythropoiesis (red blood cell formation), its also involved in: DNA synthesis Regeneration of bone marrow, GI lining, and respiratory tract lining Nervous system development and maintenance (11) Prevention of anemia Although a B12 deficiency isnt as common as vitamin D or even folate, it still happens