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Because of this pleiotropic effect, distinguishing between direct, i.e., via agonist-receptor interaction, and indirect effects of these agonists in vivo is challenging

Clin Sci (Lond) 108:185194 Poorabbas A, Fallah F, Bagdadchi J, Mahdavi R, Aliasgarzadeh A, Asadi Y, Koushavar H, Vahed JM (2007) Determination of free l-carnitine levels in type II diabetic women with and without complications

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