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Crawford TO, Paushkin SV, Kobayashi DT, et al

It also contributes to better semen viscosity, improved sperm health, and enhanced male libido

Figure 2 Regulation of Acetyl-CoA/CoA Ratio Under physiological conditions, carnitine can buffer excess acetyl-CoA in the mitochondria via the formation of acetyl-carnitine (33), which requires the presence of carnitine acyltransferase and carnitine acylcarnitine translocase

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CrAT uses short-chain acyl groups (C1-C4) as substrate, whereas COT uses both medium and long-chain fatty acids (C5-C12) having a preference for medium chain acyl-CoA
