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10.1038/nrneurol.2012.126 53 CollierT

These are kids, and even if it were adults, they were quite appropriately examining a lot of the physiological measures that one would want to carry out to make sure, first of all, that blood levels of carnitine are increasing, and indeed they confirm that, but also that no negative effects are showing up in the physiology as well as the psychology of these kids

An increasing body of research suggests that lipid peroxidation products exacerbate degenerative muscle changes by inducing oxidative stress, disrupting cell membrane structures, impairing mitochondrial function, and regulating cell death pathways

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