Acetyl-CoA buffering
Detoxification of potentially toxic metabolites-short chain acyl groups have toxic/detergent
Fatty acid transport - Improving intracellular cell energy production
Regulation of the mitochondrial and cytosolic acyl-CoA/CoA ratio - Improving intracellular cell energy production
Stabilization of cell membranes - Reducing oxidative stress
Other –Epigenetic regulation (Histone acetylation)
Table 1: The Essential Role of L-Carnitine.