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If the symptoms do not resolve completely, further evaluation with upper endoscopy or 24-hour ambulatory esophageal pH monitoring with symptom- reflux correlation (or both) is indicated
Energy Production: L-carnitine is involved in the transport of fatty acids into the mitochondria, where they are metabolized to produce energy in the form of adenosine triphosphate (ATP)
This may be delayed in patients with GERD because of either impaired esophageal peristalsis or reduced buffering effects of swallowed saliva
the results also showed decreased expression of the negative modulator of the insulin-like growth factor-binding protein
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Edited by Professor Boris Zhivotovsky Supplementary information Rights and permissions Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made
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