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Ambrosio AF, Silva AP, Malva JO, et al

This reduction was prevented by the supplementation of carnitine

10.1016/j.healun.2004.02.009 197

Bands of scar tissue developing between the abdomen and other organs can create abnormal connections (fistulas), resulting in pain, constipation, and intestinal blockage

On the other hand, stressed beta cells re-express silenced disallowed genes [57], altering metabolism and impairing insulin secretion, and increase their immune visibility through HLA class I and II hyperexpression [58, 59] and neo-epitope formation driven by stress-related enzymatic modifications [17, 60]