Mitochondrial transport of long chain fatty acids. While medium and Download Scientific Diagram Carnitine: Genetic Variants Affecting Mitochondrial Energy and Health Metabolism: The carnitine shuttle and fatty acid metabolism (practice) Khan Academy Short Note On Carnitine Shuttle: Fatty acids are oxidized in mitochondria, and synthesized in the cytoplasm. Long chain fatty acids must form an active intermediate, fatty acyl CoA, before being oxidized inside mitochondria. Catherine