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One possible hypothesis leading to this observation could be related to the increasing concentration of TG in the remaining VLDL and rising of TG antiport with HDL-C at the same time.[] One study showed a contrasting result by reporting the effect of carnitine on the HDL-C level
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Slowly titrating the dose over months allows the body to clear the toxic burden without triggering a massive immune flare or severe Herxheimer reaction
Moreover, it was established that the tested doses (30 or 60 g/kg) were well-tolerated [3]
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