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Although NAA can decrease due to both cellular density loss and mitochondrial damage, both situations indicate ongoing neurodegeneration (68)

Tohoku J Exp Med 221:191195 Xu S, Waddell J, Zhu W, Shi D, Marshall AD, McKenna MC, Gullapalli RP (2015) In vivo longitudinal proton magnetic resonance spectroscopy on neonatal hypoxic-ischemic rat brain injury: neuroprotective effects of acetyl-l-carnitine

Guards against stress by promoting production of anti-stress hormones and neutralizing free radicals that cause cell damage

10.1016/j.freeradbiomed.2005.03.030 275 PottierC.BieniekK

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Role of the autonomic nervous system in atrial fibrillation: pathophysiology and therapy