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There was no additional risk above and beyond the high risk from diabetes.[ref] Risk rises over time: One problem with the epidemiological studies on Lp(a) is that most of them only last for 5 to 10 years, which may not be enough time to really determine causality

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The vast majority (~98%) is found in the heart and skeletal muscles, where it plays an essential role in energy production

Notably, acetylcarnitine can act as an acetyl donor [37], supporting the acetylation process of cells through the shuttle mechanism of acetylcarnitine in the absence of conventional acetyl-CoA synthetase enzymes such as ATP-citrate lyase (ACLY) and acyl-CoA synthetase short chain 2 (ACSS2) [38]