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They show up in substrate oxidation studies, nitrogen balance measurements, and body composition tracking

Carnitine palmitoyltransferase 1C The brain-specific carnitine palmitoyltransferase 1C (CPT1C) displays high-affinity to bind malonyl-CoA, but its enzymatic activity cannot be observed using conventional assays 43

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It binds to fatty acids to form the "acyl-carnitine" , a complex capable of crossing the inner mitochondrial membrane via a specialized transport system (the carnitine shuttle or carnitine shuttle )