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In athletes, dietary intake should avoid the reduction of plasma carnitine levels [38,47], and the increase of respiratory quotient [26,38] during maximal and sub-maximal exercise

Metabolism and Bioavailability In healthy people, carnitine homeostasis is maintained through endogenous biosynthesis of L-carnitine, absorption of carnitine from dietary sources, and reabsorption of carnitine by the kidneys (5)

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Four components comprise this transporting system: the carnitine palmitoyltransferase 1 (CPT1) and 2 (CPT2), the carnitine-acylcarnitine translocase (CACT), and the carnitine acetyltransferase (CrAT) that close the carnitine cycle, allowing the export of the FAO-produced acetyl-CoA as acetyl-carnitine (Fig