Comprehensive review of the expanding roles of the carnitine pool in metabolic physiology: beyond fatty acid oxidation Journal of Translational Medicine Springer Nature Link Carnitine transport and fatty acid oxidation ScienceDirect L Carnitine Linus Pauling Institute Oregon State University Fatty Acid Metabolism Anabolism vs Catabolism! Your body is a master at balancing energy storage and energy release Synthesis (Fed State): Acetyl CoA leaves the mitochondria as Hepatic Carnitine Palmitoyltransferase (CPT) System: Gateway to Fatty Acid Oxidation Long chain fatty acids cannot directly cross the inner mitochondrial membrane. The hepatic carnitine shuttle system, led by CPT I and Carnitine Acyl carnitine Carrier Encyclopedia MDPI