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58 TH regulates FAO through the stimulation of key genes involved in this pathway, including upregulation of the carnitine palmitoyltransferase 1A ( CPT1A ), the rate-limiting enzyme of FAO

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[1] Finally, carnitine palmitoyltransferase II (CPT II), transfers the LCFA's from carnitine to CoA to make fatty-acyl CoA while transporting out the carnitine to translocase and eventually CPT I to restart the cycle and shuttle more LCFA's

However, a 2020 review notes that more research is necessary to support the use of L-carnitine for better exercise performance