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It has several important metabolic and biological effects, which include improving vascular function, being a substrate in the synthesis of creatine, and the ability to stimulate insulin

Chintharlapalli, S, Papineni S, Konopleva M, Andreeff M , Samudio I, Safe S

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The fact that acetyl-CoA breakdown may be dependent on the availability of propionic acid when this alternative pathway is upregulated means that -oxidation may be stoichiometrically inhibited if propionic acid is not available

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