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Bechinger, B

Carnitine Synthesis and Dietary Uptake In animal tissues, L-carnitine concentrations are relatively high, typically between 0.2 and 6 mmol/kg with almost all in the heart and skeletal muscle, and it is synthesised de novo in animal cells by a multi-step process with N -trimethyl-lysine derived from protein degradation as the primary precursor and butyrobetaine as an intermediate

Gastroenterology 103, 16211624

Other conditions and risk factors unique to individual hernias include chronic coughing, smoking, heavy lifting, straining, obesity and pregnancy

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