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It is a potent protein stabilizer that protects marine animals against the adverse effects of temperature, salinity, high urea, and hydrostatic pressure (Yancey et al., 2014

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When overproduction of acetyl-CoA occurs in muscle during intensive exercise, this process ensures the replenishment of free CoA to facilitate pyruvate metabolism, but when exercise ends, transacetylation of acetylcarnitine provides acetyl-CoA for the Krebs cycle