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It appears that certain pathways of carnitine metabolism, such as the acetylation of carnitine to acetyl-carnitine, are impaired, possibly as a result of the toxicity of antiretroviral medication

Weder S, Keller M, Fischer M, Becker K, Alexy U (2022) Intake of micronutrients and fatty acids of vegetarian, vegan, and omnivorous children (13 years) in Germany (VeChi Diet Study)

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Ongoing research investigates how this established transport mechanism influences cellular metabolism and mitochondrial function under various experimental conditions

And that is what we see. 2 Indeed, Loggias finding was replicated by an AFSA-funded study