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Actions of acetyl-L-carnitine on the hypothalamo-pituitary-gonadal system in female rats J Steroid Biochem Mol Biol 1992

These are known as "ketone bodies" and the process as "ketogenesis", and they are readily transported to extrahepatic tissues and converted back to acetyl-CoA, which then enters the citric acid cycle and is oxidized in mitochondria for energy (ATP production)

"ASPN guideline for painful diabetic neuropathy." J Pain Res 2024