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Hepatology 63 , 11901204 (2016)

When intense pain occurs, it is usually linked to preexisting joint disease, autoimmune conditions, or unrelated injuries that become more noticeable during lifestyle changes

Another multicenter cohort study showed that higher carnitine levels were significantly associated with the presence of carotid plaque and the progression of a larger baseline and mean carotid artery intima-media thickness (38)