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Propionic acid directly impairs the metabolism of carnitine in the body, and also causes a reduction in omega-3-fatty acid levels (which leads to reduced antioxidant capacity and other negative impacts on carnitine reuptake)
Australas J Dermatol 38(4):187189 Melamed RD, Aydin IT, Rajan GS, Phelps R, Silvers DN, Emmett KJ, Brunner G, Rabadan R, Celebi JT (2017) Genomic characterization of dysplastic nevi unveils implications for diagnosis of melanoma

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The drug-treated (DT) depression patient group included patients who received drug treatment including antidepressants for the treatment of depression, and the non-drug treated (NDT) group included patients who did not receive drug treatment
