Translating the basic knowledge of mitochondrial functions to metabolic therapy: role of L carnitine Translational Research Role of Carnitine Shuttle System in the Active Transport of Fatty Acyl Coa into the mitochondrial How carnitine transporters boost reproductive health 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