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Fatty acyl-CoA is then metabolized through -oxidation in the mitochondrial matrix, ultimately yielding propionyl-CoA and acetyl-CoA (6)

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1 A procedure known as microscopic subinguinal varicocelectomy has been shown to have the highest success rate and lowest risk of complications

Carnitine then binds to VLCFAs to form the corresponding acylcarnitines, allowing them to leave the peroxisome and eventually enter the mitochondria for complete -oxidation [29]