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The study found that while both methods were safe, topical administration was more effective at reducing inflammation (inhibition of inflammatory factors such as IL-6, TNF-, and Interferon-gamma) and improving tear stability (Heydari et al., 2023)

Highly reactive compounds such as hydroxyl radicals, hydrogen peroxide, superoxide, and peroxynitrite cause cellular lipid peroxidation, vital enzyme inactivation, respiratory chain dysfunction, or DNA modification

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L-Carnitine is primarily stored in skeletal muscles at approximately 95%, while the significantly lower concentration in plasma
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