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This suggests that there might be different lipid metabolic pathways in the two subtypes of HF, and inhibiting myocardial energy deficiency, by restoring ATP-dependent LV relaxation and contraction, might cause beneficial effects in HFpEF [7]

This relationship strengthens the conclusion that L-carnitine, in this experimental model, induces the peripheral and hepatic metabolism of lipoprotein fatty acids leading at the same time to an improved lipoprotein metabolism

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