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The peer-reviewed literature summarized below describes reported observations from primary research

Sphingomyelin is a type of sphingosine-containing phospholipid (sphingolipid) that is synthesized by the transfer of a phosphocholine residue from a phosphatidylcholine to a ceramide ( Figure 3 )

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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As always, it is crucial to consult with a healthcare provider before starting any new supplement regimen, especially if you are taking medications for thyroid function or blood thinners, as carnitine can occasionally interact with these pathways

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