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Third, relevant lab values including hemoglobin, ferritin, MCV, and transferrin saturation referenced in the note, not just ordered

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However, when the level of long-chain acylcarnitines (LCACs) is abnormally elevated, not only is it a signal of mitochondrial dysfunction but its high concentration can also aggravate mitochondrial damage and further deteriorate mitochondrial function [20, 21]

Fish Shellfish Immunol 94:916923