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Description
Hyperammonemia has been recognized to trigger skeletal muscle wasting related with liver cirrhosis (1,2)

It has been hypothesized that chemokines produced locally in the skin promoted infiltration of macrophages and T-cells, leading to damage of cutaneous nerves and, consequently, HIV-SN

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Medicinenet: Guide to PLC
2021;10(17):e020646

The kidneys can also store L-carnitine for later use and eliminate the excess through the urine stream
