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J Clin Invest 123: 14921500, 2013 [DOI] [PMC free article] [PubMed] [Google Scholar] 80.Fox CS, Pencina MJ, D'Agostino RB, Murabito JM, Seely EW, Pearce EN, Vasan RS

The pathophysiology of bacterial-endotoxin mediated tissue damage may involve the interplay of reduced host carnitine levels and pathogenic requirement of carnitine for growth and survival in the host [95]

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Breakouts tend to peak in severity during the first year as the body adjusts to the new hormonal balance