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Per unit mass, the myocardium consumes most of the KB ( In the hypertrophied and failing heart, decreased myocardial capacity for fatty acid oxidation occurs, leading to enhanced cardiac glucose utilization through anaerobic glycolysis, pyruvate accumulation and lactate production

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Nayor M, Houstis NE, Namasivayam M, Rouvina J, Hardin C, Shah RV, Ho JE, Malhotra R, Lewis GD (2020) Impaired exercise tolerance in heart failure with preserved ejection fraction

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Effects of L-Carnitine on Thyroid Hormone Metabolism and on Physical Exercise Tolerance