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Meanwhile, there has been no association of PD with penile trauma reported in previous studies, indicating that not only traumatic factors but some unknown elements may have played a role in the development of PD (Zargooshi, 2004

Kumar P, Liu C, Suliburk J, Hsu JW, Muthupillai R, Jahoor F, Minard CG, Taffet GE, Sekhar RV

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Owing to the critical physiologic role of l-carnitine in cellular fatty acid metabolism, there has been a belief that oral consumption of l-carnitine is beneficial in energy expenditure, when, in fact, there is equivocal evidence for enhancement in healthy individuals (4854)

Cadmium may accentuate inflammatory processes, which may in turn disrupt the HPA axis and trigger symptoms of ME/CFS (161, 162)