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Blood work including inflammatory markers (CRP, ESR), cytokine panels, and immune cell subsets can provide deeper insight into whether the protocol is modulating the underlying immune dysfunction

Decreased kidney function is associated with enhanced hepatic flavin monooxygenase activity and increased circulating trimethylamine N-oxide concentrations in mice

ATB 0,+ is also expressed in the lung (Sloan et al., 2003), eye (Nakanishi et al., 2001) allowing for carnitine distribution in these tissues

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Before and after data was again not provided so overall % increase/decrease could not be calculated in this subgroup