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We have previously postulated that these kinds of fatty acid compositional changes could be associated with a preferential stimulation by L-carnitine of saturated fatty acid breakdown in peripheral tissues due to the specificity of the transesterifying enzymes of mitochondrial outer membranes 15
On the other hand, false positives can occur in the absence of pregnancy (due to the administration of exogenous hCG for ovulation induction) or in cases in which the pregnancy is not evolving (ectopic pregnancy, anembryonic pregnancy, etc.)
PMID 25208511
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