The enzyme carnitine palmitoyltransferase II (CPT II) which is localized in the inner mitochondrial membrane converts acylcarnitines back to acyl CoAs and free L-carnitine, which exits the mitochondria and serves as the substrate for CPT I to form more acylcarnitine [1, 43]
If your diet lacks B12 or you prefer not managing daily pills, injections could be more convenient, and vice versa
You may be encouraged to consume: Fruits: all fresh fruits except berries and pineapple, which harbor aromatic acids Dried fruits (stewed or pre-soaked only): peaches, dates, figs, apricots, prunes, and raisins all unsulphured Vegetables: all except mushrooms, hot peppers, carrot greens, radish greens, mustard greens, and raw spinach (cooked spinach is fine) Lentils: allowed only at certain times if youre in good health Grains: rye bread (unsalted, non-fat), brown rice (if prescribed), and oatmeal Dairy: only non-fat, plain, organic yogurt and only after six weeks Spices (in small amounts): allspice, anise, bay leaves, coriander, dill, fennel, mace, marjoram, rosemary, sage, saffron, sorrel, summer savory, thyme, and tarragon Condiments: vinegar either wine or apple cider Fats: flaxseed oil only if prescribed Beverages: freshly pressed juices (as prescribed), caffeine-free herbal teas In addition to the above foods, certain items are permitted occasionally: Bananas: typically half a banana per week Breads: only whole wheat rye (unsalted, non-fat) generally 12 slices per day Quinoa: usually once a week Yams and sweet potatoes: typically once a week (regular potatoes are unrestricted) Popcorn: air-popped, usually as a holiday treat only a few times per year Sweeteners: maple syrup (grade A dark color formerly grade B), honey, brown sugar, or unrefined blackstrap molasses 12 teaspoons (1530 ml) of any per day, maximum The Gerson Institute states that individuals are evaluated on a case-by-case basis to determine the proper diet and whether the program may be right for them
The enzyme was dissolved in phosphate-buffered saline at pH 7.4, sterilized through a 0.22-m membrane, and administered under ultrasound guidance
Convenience : Tablets necessitate daily dosing, whereas injections must only be administered weekly
