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Insulin resistance: from mechanisms to therapeutic strategies

Levels of L-carnitine and L-O-acetylcarnitine in normal and infertile human semen: a lower level of L-O-acetycarnitine in infertile semen

[PubMed] [Google Scholar] 48

Even something as innocuous as this can cause emotional arousal, tipping patients over the edge with an influx of hormones (adrenaline, norepinephrine, etc.)
