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Mitochondrial coenzyme Q10 further enhances mitochondrial electron transport chain efficiency, creating a dual-pathway synergy (fatty acid translocation + ATP generation)

Fatty Acid Oxidation: Once inside mitochondria, fatty acids are oxidized in a process called -oxidation

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This process depends heavily on nitric oxide (NO), a crucial signalling molecule that relaxes smooth muscle in penile blood vessels

"ALCAR and depressive symptoms: systematic review and meta-analysis." Psychosom Med 2018;80:154-9

L-Carnitine helps transport fatty acids from storage into those power stations, where they can be converted into usable energy