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In such instances there may be trans-epidermal elimination of nests with their presence being noted even in the stratum corneum

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The transport of carnitine across epithelial cells of the intestine, kidney, and placenta, as well as into the liver, brain, heart, muscle, epididymis, and airway tissues, is shown

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doi: 10.1074/jbc.RA120.016019 40 RathS.HeidrichB.PieperD