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However, the downstream metabolic effects
[DOI] [PMC free article] [PubMed] [Google Scholar] (62).Sham LT

Oxaloacetate enhances neuronal cell bioenergetic fluxes and infrastructure
Cardiomyopathy, cardiac arrhythmia, (likely due to the accumulation of long-chain fatty acids and acylcarnitines that cannot be oxidized), cardiac insufficiency and respiratory distress arise from CAC deficiency [120]
Some individuals may feel mild digestive discomfort if they start with a high dose
