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And how exactly can one little compound be so powerful

"Alcohol and Food Intake." Curr Opin Clin Nutr Metab Care

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In addition, OCTN2 protein was detected in exosomes released from HEK293 cells [166], indicating that carnitine and its derivatives may be transported between cells through exosomes, a finding that provides new insights into the role of carnitine and its transporters in exosomes and their functions in intercellular communication and pathological processes