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The active site of the other three GPXs is cysteine [64]

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Reported side effects include injection-site redness or swelling, flushing or skin warmth (a histamine response), mild fatigue, and headache

After completion of the initial l-carnitine or BB challenge (baseline or visit 1), an ensuing week-long treatment of oral antibiotics (7) was given to suppress intestinal microbiota, and the challenge (d 3 -l-carnitine or d 9 -BB) was then repeated (visit 2)