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Moreover, within the body, carnitine can be metabolized into -butyrobetaine and crotonobetaine through the enzymatic action of L-carnitine dehydrogenase (Meadows and Wargo, 2015) and -butyrobetaine CoA transferase (Koeth et al., 2014), while choline can be oxidized into betaine by choline dehydrogenase and betaine aldehyde dehydrogenase

doi: 10.1210/clinem/dgab456 49 MissoG

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Ensures that the cells are healthy and functioning properly, which is essential for sustaining the bodys metabolic processes and overall well-being

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My understanding from what I have read a biopsy helps confirm mito disorders