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DiNicolantonio JJ, Lavie CJ, Fares H, Menezes AR, O'Keefe JH

Finally, a number of inherited mutations in genes involved in carnitine shuttling and fatty acid oxidation pathways do not systematically result in carnitine depletion (such that carnitine supplementation may not help mitigate the symptoms) but lead to abnormal profiles of acylcarnitine esters in blood (35, 40)

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A recent study has demonstrated that lactate-induced acidification of the microenvironment over a period of weeks induces a metabolic adaptation of the tumor cell population, promoting -oxidation as a metabolic strategy (the CorbetFeron Effect) 71