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Skeletal muscles switch to fatty acid oxidation when they are in use, such as lifting weights, aerobics, sports, etc, but when at rest, they have a low rate of fatty acid oxidation

[PubMed] [Google Scholar] 52.L-Carnitine plus cilostazol versus cilostazol alone for the treatment of claudication in patients with peripheral artery disease: a multicenter, randomized, double-blind, placebo-controlled trial

Interestingly, patients in advanced stages of CKD have a reduced ability to excrete ketones in the urine and cope with acid loads

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