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Increased erythropoietin levels and red blood cell mass can result in secondary polycythaemia, elevated blood viscosity, and heightened thromboembolic risk, consistent with the pro-coagulant state observed in cardiovascular studies (73)

This strain was able to grow on L-carnitine as the sole source of carbon and nitrogen under aerobic conditions, while the degradation of L-carnitine was blocked by frameshift mutagenesis, giving rise to a derivative strain, HK13, lacking L-carnitine dehydrogenase [53]

However, tests on this parameter are performed far too rarely [1012], most often due to insufficient knowledge

Garrett Q, Xu S, Simmons PA, Vehige J, Flanagan JL, Willcox MD