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Factors such as poor diet, stress, and exposure to toxins can exacerbate this deficiency

J Chin Cereals Oils Assoc 28:8086 Mister M, Noris M, Szymczuk J, Azzollini N, Aiello S, Abbate M, Trochimowicz L, Gagliardini E, Arduini A, Perico N, Remuzzi G (2002) Propionyl-l-carnitine prevents renal function deterioration due to ischemia/reperfusion

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Low testosterone in men is associated with higher LDL cholesterol, higher ApoB, lower HDL, higher triglycerides, and more atherogenic particle distribution