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in addition, the regulatory mechanism of d-carnitine on nutritional metabolism in fish was not yet known now ( Reference Santulli and DAmelio 23 , Reference Santulli and DAmello 28 )

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TMA is then further broken down by bacteria in the body to produce trimethylamine-N-oxide (TMAO)

Case series of sudden cardiac death in young athletes frequently report myocardial hypertrophy and fibrosis, supporting the presence of an arrhythmogenic substrate in long-term AAS users (72)

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10.1182/blood-2016-11-754416 13
