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Congenital CMV infection causes serious neurodevelopmental sequelae, including mental retardation, cerebral palsy, and sensorineural hearing loss

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Through a system involving the enzymes carnitine palmitoyltransferase I (CPT-I) and carnitine palmitoyltransferase II (CPT-II), L-carnitine binds to fatty acid molecules, transports them into the mitochondrial matrix, and releases them for beta-oxidation, the process that breaks fatty acids down into acetyl-CoA units for energy production in the citric acid cycle

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