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The remaining 32 were treated with L-glutathione (300 mg/day

Proceedings of the National Academy of Sciences of the United States of America , 115(10), E2320E2328

Consequently, prolonged use of pivalic acid-containing antibiotics, including pivampicillin, pivmecillinam, pivcephalexin, and cefditoren pivoxil (Spectracef), can lead to secondary L-carnitine deficiency (135)

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Microorganisms in the intestines can pass through the intestinal barrier and enter the portal vein lumen when the permeability of the intestinal barrier decreases