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A minor component is acted upon by cytochrome P450 enzymes such as Cyp2E1 and Cyp1A2 to form a reactive metabolite, N -acetyl- p -benzoquinone imine (NAPQI)8

Levocarnitine is an amino-acid derivative essential for mitochondrial fatty-acid transport, and this injectable formulation is used to treat or prevent clinically significant carnitine deficiency in conditions such as primary systemic carnitine deficiency, certain inborn errors of metabolism, and end-stage renal disease on dialysis

Expression of the SLC23A1 gene (SVCT1) is predominantly in intestinal epithelial cells and renal tubular cells where the transporter is found in the apical plasma membrane