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In the present study, d-carnitine-treated tilapia exhibited higher expression of ACO , which encodes a key enzyme of peroxisomal -oxidation, suggesting that peroxisomal -oxidation may be up-regulated after d-carnitine treatment

Anderson and colleagues reported that approximately 11.5% of patients experienced gastrointestinal side effects, though specific discontinuation rates attributable to these events were not consistently reported (94)

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