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Alongside impairments in carbohydrate metabolism, evidence of reduced carnitine levels suggest a dysfunction in mitochondrial -oxidation, leading to accumulation of long-chain fatty acids and elevated markers of lipid elongation and desaturation (Filipek et al., 2004

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Due to the diverse and nonspecific nature of IC/BPS symptoms, various terminologies have been used in clinical settings to describe the condition 2

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11 The result is bioenergetic failure