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However, during high-fat diet (HFD) feeding, obesity and insulin resistance, the accumulation of medium-chain and long-chain acylcarnitines due to incomplete -oxidation may negatively regulate the expression of nuclear-encoded mitochondrial genes, further reducing mitochondrial number and function and creating a vicious metabolic cycle [33]

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Other studies have demonstrated a dose-dependent effect of acetyl-l-carnitine in counteracting oxidative stress caused by arsenic and improved mitochondrial function in a rat hippocampus model and reduced the levels of free radicals induced by cuprizone in murine corpus callosum [21, 22]