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In the mitochondrial matrix, the acyl group is removed by carnitine-palmitoyl transferase 2, allowing L-carnitine to exit the matrix via the translocase (4)

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Peptides amplify this effect by upregulating VEGF, creating a nutrient-rich environment that enhances the photobiomodulation effects of laser treatments

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Cell Metab 15:279291 Osuga JI, Ishibashi S, Oka T et al (2000) Targeted disruption of hormone-sensitive lipase results in male sterility and adipocyte hypertrophy, but not in obesity