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In hemodialysis patients, due to reduced renal clearance, carnitine depletion and acylcarnitine accumulation become significant, resulting in an abnormal increase in the ratio of acylcarnitine to free carnitine in plasma, which in turn inhibits cardiac fatty acid metabolism [261]

The most common side effects are gastrointestinal, and they include: Nausea Vomiting Diarrhea Constipation Bloating Fatigue Plus, many of these symptoms are manageable with some lifestyle and dietary changes, like eating slowly, practicing portion control, and limiting greasy, fried, and processed foods

Capsule anchoring in Bacillus anthracis occurs by a transpeptidation reaction that is inhibited by capsidin

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