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doi: 10.1097/MOL.0000000000000819

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(C16) Hexadecanoyl-L-carnitine d3 is a deuterated ester of L-carnitine and palmitic acid, intended for use as an internal standard for the quantification of palmitoyl-L-carnitine by GC- or LC-MS

Carnitine is the primary determinant of fatty acid turnover in mitochondria
A multicenter, open-label prospective study by Shalita et al 41 evaluating the effect of a supplement NicAzel (nicotinamide, azelaic acid, zinc oxide, pyridoxine, copper, and folic acid) found a significant reduction in lesion count when given in addition to the patients acne regimen
