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Vegetarians could also be at risk for carnitine deficiency, as carnitine is found in higher concentrations in animal foods such as beef, poultry, and pork

For this reason, fatigue remains a challenging symptom for clinicians to address

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18 Cellular hyperglycemia disrupts mitochondrial oxidative phosphorylation, fatty acid metabolism, and key signaling pathways crucial for metabolic stress adaptation, tissue integrity, and immune responses in diabetic complications

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Several species of cholesteryl ester with polyunsaturated fatty acids (CE18:2, CE18:3, CE22:4 and CE24:4) were upregulated in APOE 4/4, while CE 16:0 was downregulated