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L-carnitine is what carries them inside
Regeneration of Carnitine: Once inside the mitochondrial matrix, acyl-carnitine is converted back to acyl-CoA and free carnitine by CPT II

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doi: 10.1093/eurheartj/ehy799

This number is estimated to increase to 150 million by the end of 2050 (Patterson, 2018)

Activation and inhibition of reconstituted cardiac L-type calcium channels by palmitoyl-L-carnitine
