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TNF- stimulates the production of IL-1 and IL-6, thereby reinforcing a positive feedback loop that sustains inflammation [47]

Bookbinder, L., et al

(R)-3-Carboxy-2-hydroxy-N,N,N-trimethyl-1-propanaminium chloride

doi: 10.1093/ajcn/86.6.1738

Al-Majed and colleagues [140] found that carnitine deficiency and oxidative stress are risk factors during development of cisplatin (CDDP)-induced cardiomyopathy and that carnitine supplementation, using propionyl-l-carnitine, prevents the progression of CDDP-induced cardiotoxicity