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During the transport process from the intestinal lumen to portal blood, the proportion of butyrate decreased significantly from 21% to 8%, with its concentration further declining sequentially from the portal vein (29 mol/L) to the hepatic vein (12 mol/L) and finally to the peripheral vein (4 mol/L), demonstrating that butyrate uptake was most substantial in the colon, followed by the liver, and then further absorbed in peripheral tissues [1]

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While the individual benefits are widely recognized, combining L-carnitine with vitamin C offers intriguing possibilitiesparticularly in terms of energy metabolism and antioxidant protection

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Mechanistically, TMAO inhibits megalin expression via PI3K/ERK, reducing albumin uptake and promoting tubular cell dysfunction, which triggers tubulointerstitial inflammation and fibrosis (Kapetanaki et al., 2022)

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Further, neuroinflammation can induce the increased expression and activity of NADPH oxidase, leading to a highly oxidative environment

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Metabolite-dependent resistance to ferroptosis relies on the FSP1/CoQ10/NADPH system

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