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In multi-herbal combinations, formulas containing Scrophularia radix and Panax ginseng (e.g., Isam-Tang) have demonstrated immunomodulatory and anti-apoptotic effects in experimental autoimmune thyroiditis models, alleviating thyroid inflammation and regulating proteins such as Bcl-2 and caspase-3, thereby indicating therapeutic prospects for autoimmune thyroiditis (141, 142)

119 National Center for Biotechnology Information (2023c)

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However, D-carnitine racemization is difficult and cannot be recovered, and industrial production still needs a breakthrough

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Comprising 83 amino acids, this compound features a crucial 13-amino acid extension at the N-terminus and a substitution of Arginine for Glutamic Acid at position 3