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This can result in a variation in levels of 1030% from day to day and up to 45% within 24 h

PLoS Pathog 10 , e1004566 (2014)

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Similarly, the liver inflammation in the L-carnitine + perhexiline maleate (before operation) group was significantly higher than that in the control group at 3 time points, while the L-carnitine (before operation) group was significantly lower than that in the control group