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However, studies of the functions of l- and d-carnitine in aquatic animals have yielded contradictory results to date ( Reference Santulli and DAmelio 23 , Reference Du, Liu and Tian 24 )

[13] The first reaction of the carnitine shuttle is a two-step process catalyzed by a family of isozymes of acyl-CoA synthetase that are found in the outer mitochondrial membrane , where they promote the activation of fatty acids by forming a thioester bond between the fatty acid carboxyl group and the thiol group of coenzyme A to yield a fatty acylCoA

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doi: 10.1097/md.0000000000014309 174 ZhouR.TardivelA.ThorensB.ChoiI.TschoppJ

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Different forms of carnitine address slightly different goals