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Risk factors for toxicity are briefly mentioned here

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Levamisole, a therapeutic agent that specifically targets CD133, a recognized marker of OCSCs, has been developed (67)

Indeed, the carnitine concentrations are 1 mM in rat skeletal muscle, 3 mM in human muscle and may be up to 15 mM in ruminant muscle [20]

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This makes it a focus in research on fundamental cellular processes rather than just acute energy provision