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When levocarnitine is injected subcutaneously, it enters systemic circulation directly, bypassing the gastrointestinal tract where bacterial conversion to TMA occurs

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Evidence supports therapeutic BCAA supplementation in hypercatabolic conditions such as sarcopenia and hepatic cirrhosis, while suggesting potential adverse metabolic consequences in insulin-resistant or obese individuals

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Conclusion: The HAE-PLG patients who developed thrombotic events on AT were all elderly (over 65) and had cardiovascular history and risk factors

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