Fatty Acid Metabolism Anabolism vs Catabolism! Your body is a master at balancing energy storage and energy release Synthesis (Fed State): Acetyl CoA leaves the mitochondria as Medium chain fatty acid oxidation is independent of l carnitine in liver and kidney but not in heart and skeletal muscle American Journal of Physiology Gastrointestinal and Liver Physiology American Physiological Society Carnitine, Acylcarnitines and Beta Oxidation Functional mechanisms of L carnitine: Fatty acids are activated to Download Scientific Diagram