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Acetyl groups are essential for many cellular functions

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In contrast to a diet heavy in saturated fat, which can raise LDL cholesterol, a westernized diet high in unsaturated fat can boost Bacteroidetes and decrease Firmicutes and Bilophila wadsworthia (sulfite-reducing microorganisms) (161)

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Liver-derived acylcarnitine can serve as an energy substrate, particularly during prolonged exercise or fasting