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Four enzymes are involved in endogenous L-carnitine biosynthesis ( Figure 2 )

[DOI] [PMC free article] [PubMed] [Google Scholar] 25.Nowicka-Bauer K., Nixon B

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That said, there are several less common side effects your surgeon will discuss at consultation, including: Skin rippling with uneven or lumpy results Haematoma Seroma Persistent numbness lasting several months Localised skin discolouration Pulmonary embolism (a blood clot in the lungs) Pulmonary oedema from fluid overload Visceral organ injury genuinely rare, and typically associated with deeper cannula placement than is used in modern, carefully controlled techniques All types of surgery carry a risk of excessive bleeding, deep vein thrombosis, anaphylaxis, or wound infection