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D-amino acid incorporation also improves metabolic stability by disrupting recognition by stereospecific proteolytic enzymes

Furthermore, for the isoprenoid tail to be attached, 4-HB must be transported into the mitochondrial matrix, where the condensation with the tail occurs

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Accordingly, the preservation of CPT and FAO may attenuate or reverse renal failure, thus becoming a promising therapeutic target for the kidney diseases

The result is intense nausea, bloating , and potentially vomiting