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This mechanism is called the carnitine shuttle, in which fatty acids cross the mitochondrial membranes bound to L-carnitine, forming acylcarnitine molecules that can cross the mitochondrial membrane through a transporter in exchange for free L-carnitine

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doi: 10.1111/j.1439-0272.2011.01234] Propionyl-L-Carnitine Benefits First and foremost (and beyond the aforementioned erectile dysfunction factor), propionyl-L-carnitine helps the body produce energy, and is important for heart function, muscle movement and many other body processes