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The purpose of this review is to comprehensively summarize the multidimensional biological effects of the carnitine pool beyond its traditional role in fatty acid oxidation and to summarize the systemic effects mediated by carnitine/acylcarnitine to provide new perspectives for pharmacological research and treatment innovation and new strategies for the prevention and treatment of a variety of diseases

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Imbalances in choline intake, whether insufficient or excessive, can lead to various health issues, including cardiovascular disease, neurological disorders, and organ dysfunction (135, 136)