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F/B: Firmicutes-to-Bacteroidetes L -Carnitine (LC) is a medically significant nutrient that contributes to the production of energy and the metabolism of fatty acids, by transporting long-chain fatty acids into the mitochondrial matrix for their conversion into energy, via the -oxidation process [1, 2]

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*Correspondence: Ursula Panzner, [email protected] This article was submitted to Vaccines for Tropical Diseases, a section of the journal Frontiers in Tropical Diseases Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

This observation and the need for continuous function explains why the intermittent addition of methylcobalamin in injection form does not always restore the cycle to an efficient function