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This creates a potential risk of pulmonary aspiration during general anaesthesia when protective airway reflexes are suppressed

Start upstream with the genetic context

MIC helps the liver break down fat more effectively, while L-Carnitine transports fatty acids into the mitochondria, where theyre burned for energy

They explained as follows

Glaesner, W

The resulting, locally elevated concentration of pro-inflammatory molecules directly causes hepatocyte injury and apoptosis, for example via TNF-mediated death receptor activation (169), initiating and perpetuating a vicious cycle of necroinflammation leading to loss of hepatocytes and of the livers functional capacity (170)