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The second step involves 3-hydroxy- N -trimethyllysine aldolase enzyme (HTMLA gene) along with vitamin B6 as a cofactor.[ref] Carnitine absorption and cellular transport: SLC22A5 Carnitine is transported into cells using the OCTN2 transporter or through passive transport

While many cells are able to overcome increased oxidative stress, neurons in the brain are especially vulnerable to oxidative imbalance (Wang and Michaelis 2010)

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