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However, no such polymerization process has been reported in any bacterium, and the unavoidable loss of UDP would make such a process metabolically extremely costly

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This was the torcetrapib drug, which was designed specifically to block the transfer of cholesterol from HDL particles to LDL particles, and thus was very effective at reducing the total-to-HDL cholesterol ratio

It might arise due to a specific health condition, like chronic, late-stage kidney disease, or because of certain factors that impact carnitine metabolism, like the use of some types of antibiotics

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