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The medication increases energy consumption and helps the liver eliminate excess fat, a key problem in MASLD
Once inside the mitochondrial matrix, Carnitine Palmitoyl Transferase 2 (CPT 2), located on the inner mitochondrial membrane, converts acylcarnitines back into acyl-CoAs and free carnitine
It is contraindicated for human use due to its toxicity in newborns (gasping syndrome)
This distinction may explain why several clinical programs emphasize long-term functional outcomes rather than acute cytoprotection alone [38, 41,42,43,44,45,46]
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