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For men with confirmed pituitary damage or disease, these peptides may not produce a meaningful response because the pituitary cant respond to the signal direct HGH replacement would be more appropriate

10.1186/s12891-018-2273-6 115 YangT.YangX.WangG.JiaD.LiY

Acetyl-carnitine synthetized in mitochondria by CrAT is transported out mitochondria by CACT and transformed back to acetyl-CoA by CrAT present in the nucleus