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10.1017/S000711450775691X

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Since the membrane is impermeable to these fatty acids, carnitine acts as a carrier via the following steps:[ref] Carnitine is bound to the fatty acyl group using CPT1 (carnitine palmitoyltransferase 1) to form acylcarnitines at the outer mitochondrial membrane

Damage to the lesser pelvis within which the neurovascular bundles of the penis run can be caused, for example, by radical retropubic prostatectomy (rrp) without bilateral sparing of the neurovascular bundles, by bilateral nerve-sparing radical retropubic prostatectomy (bnsrrp)