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Radiation therapy causes loss of dermal lymphatic vessels and interferes with lymphatic function by TGF-beta1-mediated tissue fibrosis
Our bodies can therefore produce L-carnitine itself, but require vitamins B3, B6, and C as well as iron in sufficient concentrations as cofactors
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That means someone losing 30 pounds might lose 8-10 of those pounds as muscle - which shows up as feeling weaker, more fatigued, and less functional than expected
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