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The research showed that carnitine could improve the performance of the skeletal muscles in the leg

This occurs via the carnitine palmitoyltransferase (CPT) system, with CPT1 aiding the transport of fatty acids into the mitochondria and CPT2 facilitating their release once processed

SCFAs: short-chain fatty acids Gut microbial metabolites generated from LC, such as SCFAs, act as signaling molecules, regulating host immunity and metabolism

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I also ask patients what they eat over the course of a typical day, how much physical activity they get, and if they have enough energy to do things they enjoy