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Violin plot showing the concentration (ng/mL) of -toc in the plasma of ccRCC patients and healthy donors

Normally, BCAAs (e.g., valine, leucine and isoleucine) can be converted to their corresponding branched-chain keto acids that in turn can be converted to branched-chain CoA, which can also bind carnitine to form branched-chain acylcarnitines (BCACs), such as propionylcarnitine (C3-carnitine), succinylcarnitine (C4DC-carnitine) and isovalerylcarnitine (isoC5-carnitine), which are involved in the energy production process of cells [10]

M. Jzwiak, M. Bauer, W. Kamysz, and P. Kleczkowska, Multifunctionality and Possible Medical Application of the BPC 157 PeptideLiterature and Patent Review, MDPI AG, Jan. 2025. doi: 10.3390/ph18020185

Cyanocobalamin injection: Side effects and contraindications