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Combined with histidine, it forms a dipeptide called carnosine

In addition to regulating the ubiquitination of muscle proteins, L-carnitine also increased the levels of p-p70S6K and p70S6K, which are involved in protein synthesis

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CPT1A and CPT1B at the outer mitochondrial membrane catalyze the first transport step of lipid metabolism, in which the long-chain acyl-CoA and carnitine are converted into long-chain acylcarnitine and CoA