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The mechanical stress is just too much for the delicate peptide bonds

3.3 Association between changes in plasma L-carnitine metabolite levels and cognitive improvement As shown in Table 4, we found that the decrease in 2-octenoylcarnitine levels was associated with the improvement in immediate memory index (r = 0.43, p = 0.033)

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Rabenstein, D

The results from Gariballa et al