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By providing the body with exogenous L-carnitine, the goal is to force-start the stalled carnitine shuttle, providing the necessary molecular vehicles to transport accumulated long-chain fatty acids across the inner mitochondrial membrane

Chemically, it is essentially identical to the catalytic hydrogenation reaction described for alkenes in Chapter 13 "Unsaturated and Aromatic Hydrocarbons", Section 13.4 "Chemical Properties of Alkenes"

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