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Start pre-operatively if elective surgery, immediately post-op if emergency procedure

One type of MDR is based on overexpression of efflux pumps at the plasma membrane, such as P-gp, MRP1, and BCRP, resulting in strongly reduced intracellular drug concentrations [12]

L-Carnitine is an important nutrient and is necessary for fatty acid metabolism and energy production in heart and muscle function

Fujioka et al, 2020)

Distinctive modulation of inflammatory and metabolic parameters in relation to zinc nutritional status in adult overweight/obese subjects
