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If the mitochondrial transport system becomes a bottleneck, if there is not enough carnitine to shuttle all those mobilized fatty acids into the mitochondria for burning, then some of that fat may not get oxidized efficiently

At the time of this article, the current world record for the largest skinny dip consisted of 786 participants at South Beach in Perth, Australia in March 2015

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Published data includes two Phase 1 randomized controlled studies and a pulsatility companion analysis (all 2006), plus the halted Phase 2 HIV lipodystrophy trial NCT00267527