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(PubMed) Qian M, Wang D, Watkins WE, et al

For example, peroxisomal -oxidation of di- and trihydroxycholestanoic acid leads to the formation of choloyl-CoA and chenodeoxycholoyl-CoA, then converted by the action of bile acil-CoA: amino acid N-acyltransferase into the taurine and glycine conjugates, which are exported out of the peroxisome into the cytosol and then excreted into the biliary ducts by the bile salt export pump [67]

So, they arent causing damaging reactions and the cell stays healthy

However, its essential to acknowledge the limitations of our current hypothesis

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