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Culp DJ, Luo W, Richardson LA, Watson GE, Latchney LR The American journal of physiology

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Levocarnitine is also indicated for acute and chronic treatment of patients with an inborn error of metabolism which results in a secondary carnitine deficiency

Notably, melatonin plays a dual role: it acts as an immunostimulant in basal or immunosuppressed states, enhancing defenses against infections and tumors, while serving as an anti-inflammatory agent during excessive immune activation, such as in septic shock [18,19,20] (Figure 3)

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