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10.1016/S0736-4679(99)00008-6 Chadwick DW: Concentration-effect relationships of valproic acid

In the lipid-rich liver environment, elevated CPT expression and FAO might increase mitochondrial ROS and lead to cell death of CD4 + T cells, thus promoting tumor formation in a murine model, which could be blocked by the CPT inhibitor perhexiline (Zhao et al
L-carnitine is an amino acid derivative produced in the body, found naturally in some foods, and often taken as a supplement

An incidence for these reactions is difficult to estimate due to the confounding effects of the underlying pathology

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Krus KL, et al