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Fortin G, Yurchenko K, Collette C, Rubio M, Villani A-C, Bitton A, et al

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The carnitine shuttle has a role in providing acetyl-CoA groups for acetylcholine synthesis (Figure 3), and in buffering the level of free coenzyme A in the cytosol which can inhibit acetylcholine synthesis via choline acetyltransferase [101]

The onset of metabolic inflexibility has been linked to micronutrient deficiencies and nutrient overload, as well as the inevitable aging process
