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For Zepbound, this means your doctor submits documentation proving you meet the medical criteriaand the insurer decides whether to pay

Mitochondrial citrate is either exported to the cytosol via solute carrier family 25 transporters, notably the citrate transport protein (CTP) embedded in the inner mitochondrial membrane, to fuel cytosolic fatty acid and sterol biosynthesis, or retained intramitochondrially to contribute to ATP generation (72)

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Seiwerth, S., Milavi, M., Vukojevi, J., Gojkovic, S., Krezic, I., Vuleti, L., Pavlov, K., Petrovic, A., Sikiri, S., Vrane, H., Prtori, A., Zizek, H., Durasin, T., Dobri, I., Stareini, M., trbe, S., Kneevi, M., ola, M., Kokot, A., Sever, M., Lovri, E., krti, A., Blagaic, A., & Sikiric, P