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A little on Brendans point about cancer and all that, you are correct, I would imagine

This is a possibility discussed in a review of ours, which also cites the many observations suggesting this could be the case

29,118,120,121 The procedure in which muscle-generated lactate is re-transported to the muscle via hepatic glucose isomerization to glucose is known as the Cori cycle

Boisen IM, Bllehuus Hansen L, Mortensen LJ, Lanske B, Juul A, Blomberg Jensen M

however, none of these studies measured plasma or tissue carnitine levels (Table S3)

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