Carnitine Molecule of the Month September 2003 Fatty acid transportation mechanism in cell, starting with the activation of fatty acid by carnitine palmitoyl transferase 1 to acyl coA, which now attaches itself with the translocase to be transported across Carnitine Deficiency: What You Need to Know The Medical Biochemistry Page Fatty acid oxidation The Role of l Carnitine in Mitochondria, Prevention of Metabolic Inflexibility and Disease Initiation