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Shifting CrAT activity towards the production of acetylcarnitine may rescue beta-oxidation by increasing free CoA, but it only partially solves problems of energy deficiency because the acetyl groups do not enter the Krebs cycle for energy production, but rather escape from the mitochondria in the form of acetylcarnitine

Payers and healthcare systems may hesitate to fully reimburse these treatments for non-diabetic weight loss, further restricting their use