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It acts as a shuttle in the transport of fatty acids across mitochondrial membranes

Klotz L, Dani I, Edenhofer F, Nolden L, Evert B, Paul B, Kolanus W, Klockgether T, Knolle P, Diehl L (2007) Peroxisome proliferator-activated receptor gamma control of dendritic cell function contributes to development of CD4+ T cell anergy

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In summary, L-carnitine may reduce insulin resistance by removing harmful lipids from cells, mending cell membranes, and reducing accumulated acyl CoA derivatives and/or their metabolites (18, 20)