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C., Shen, W., Redman, L

In this regard, various mechanisms are anticipated, including diminishing cholesterol synthesis via hindering the activity of HMG-CoA reductase (71), reducing intestinal cholesterol absorption concomitant with augmented fecal emission (72), enzymatic deconjugation of bile salts and higher excretion of bile acids (73), and competing with cholesterol for intestinal absorption (74)

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Carnitine also helps to prevent valproyl-CoA accumulation [27]