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3 Forms of Melanocyte Death Associated with Oxidative Stress Cell death may occur in multiple forms in response to different stressors, particularly oxidative stress [35], which is also firmly implicated in several pathways leading to vitiligo melanocyte loss

doi:10.1136/jcp.2007.050054

Specifically, the GM metabolizes nutrients like choline, phosphatidylcholine, and carnitine (found in red meat, eggs, dairy products, and salt-water fish), producing trimethylamine, which is then converted into trimethylamine oxide (TMAO) in the liver

Lead and zinc concentrations in hair and nail of some Kano inhabitants

However, dedicated immunogenicity data are sparse
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