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doi: 10.1111/cas.14011 71 KoundourosNPoulogiannisG

Deficiency of carnitine in cachectic cirrhotic patients

Equally, whilst there does not appear to be a high level of needle sharing amongst AAS users (Pope et al, 2014) there is an emerging body of evidence to show a higher prevalence of blood borne viruses amongst AAS users than the general population

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Taking large doses of choline in the form of phosphatidylcholine (lecithin) does not generally result in fishy body odor, because its metabolism results in little trimethylamine

Acknowledgements The authors thank Pedram Argani, MD, Professor of Pathology at John Hopkins Hospital (Baltimore, MD) for FISH analysis and his review of this case