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It is a small peptide bound to copper

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Defects of the OCNT2 transporter protein result in urinary carnitine wasting, low serum carnitine levels, and decreased intracellular carnitine accumulation.14-16) As a consequence, impaired oxidation of long chain fatty acids leads to deficient energy generation as well as reduced ketogenesis, particularly during fasting or stress, and accumulation of long-chain fatty acids in the cytoplasm of affected tissues

Approximately 30% of patients with plaque psoriasis have type 2 diabetes, a rate 1.5 times higher than the general population (Armstrong et al., JAMA Dermatology , 2013)