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The main cholesterol metabolic pathway in the body is reverse transport to the liver, where bile acids are synthesized

doi: 10.1016/j.clp.2013.09.004

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Given the observed changes in the respiratory quotient and perceived exertion, further studies could also explore the underlying biochemical mechanisms responsible for these effects, such as the role of L-carnitine in mitochondrial function, fat oxidation, and glycogen preservation during prolonged exercise

However, it has been suggested that LC found in red meat, is what promotes atherosclerosis and that there may be a connection between eating red meat and a higher risk of cardiovascular disease [2]