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A key adaptation is the enhancement of fatty acid oxidation

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In the past, research on the carnitine pool focused mainly on FAO, but it has now expanded to many biological fields, including energy metabolism, mitochondrial homeostasis, epigenetic regulation, inflammatory and immune homeostasis, endocrine regulation, cell signaling, neuroprotection, and tumor biology

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Aspiration occurs when stomach contents accidentally enter your lungs while you're under general anesthesia and unable to protect your airway