L Carnitine is Underrated. New Meta Review Reminds Us Why. Acylcarnitine: Structure, Metabolism, Functions, and Advanced Analysis Techniques MetwareBio Fatty acid transportation mechanism in cell, starting with the activation of fatty acid by carnitine palmitoyl transferase 1 to acyl coA, which now attaches itself with the translocase to be transported across Carnitine, Acylcarnitines and Beta Oxidation 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 Carnitine octanoyltransferase is important for the assimilation of exogenous acetyl L carnitine into acetyl CoA in mammalian cells Journal of Biological Chemistry