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Wang ZY, Liu YY, Liu GH, Lu HB, Mao CY (2018) L-carnitine and heart disease

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Only if your healthcare provider prescribes it and provides proper training

After the formation of an epoxyallylic radical, the enzyme hydroperoxide lyase, which should be more accurately termed a hemiacetal synthase, converts the epoxy intermediate into a vinyl ether and thence to a short-lived hemiacetal, which spontaneously decomposes into two short chain fragments, i.e., cis -3-hexenal and 12oxo- cis -9-dodecenoic acid, though the positions and geometry of the double bonds may change by chemical or enzymatic isomerization