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Under hypoxic or ischemic conditions, acyl-CoA accumulates, and long-chain acylcarnitine within mitochondria also accumulates, while free carnitine decreases due to substantial consumption

[DOI] [PubMed] [Google Scholar] 111.Bogliun G., Marzorati L., Marzola M., Miceli M.D., Cantu M.G., Cavaletti G

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The elevated B12 appears to be a consequence of disease activity, likely resulting from increased production of B12-binding proteins by tumor cells or from liver involvement in the cancer process