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Carnitine is also involved in the process of surfactant synthesis, which helps to regulate the tension of the alveoli and prevent their collapse
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doi: 10.1002/14651858.CD007168.pub2

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The common thread to all theories is a complex dysregulated hormonal signaling, enhanced proinflammatory microenvironment that has the potential to drive the initiation, maintenance, and progression of the disease ( Figure 1 )
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