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the highest concentration was achieved after fermentation for 4860 h

The carnitine system consists of L-carnitine and acylcarnitine esters and the enzymes and transport proteins required for their metabolism and transport, including carnitine acyltransferases, mitochondrial carnitine acylcarnitine translocases, plasma membrane carnitine importers, and the carnitine biosynthesis pathway from lysine and methionine

When the medication is withdrawn, the appetite-suppressing effects diminish, leading to increased hunger and food intake

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