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2) raises the possibility that in addition to the endogenous synthesis pathway, gut microbes might have contributed to d9-carnitine formation

The downstream result for patients is improved metabolic flexibility: the body becomes better at switching between fuel sources rather than defaulting to fat storage

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Duplex Doppler interrogation of cavernosal arteries allows diagnosis of widespread venous occlusive dysfunction when high end-diastolic velocity and low resistance flows are recorded.[53] In patients with plaque-related leakage, cavernosal waveforms alternations are usually recorded