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Conclusion and perspectives The accurate determination of carnitines, essential for human metabolism and fatty acid transport, is critical due to the risk of serious metabolic disorders from inadequate synthesis or intake

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They may instead promote base excision repair and non-homologous end joining by increasing repair protein availability or by restricting ROS-mediated base damage

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Eliminates free radicals, decreases liver toxicity, and enhances the quality of hair and nails

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This distinction has important implications for therapeutic timing: anti-inflammatory interventions may be most effective if initiated early post-insult to prevent the establishment of chronic tinnitus, but may also confer benefit in established tinnitus by reducing sustained inflammatory signaling that perpetuates maladaptive plasticity

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