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Studies have reported that L-carnitine have an effective 1,1-diphenyl-2-picryl-hydrazyl (DPPH) free radical scavenging, superoxide anion radical scavenging, hydrogen peroxide scavenging, and total reducing power [2]

Cytokines delivered by engineered bacteria include tumor necrosis factor (TNF-) [299],, interferon (IFN-) [315,316,317],, granulocyte-macrophage colony-stimulating factor (GM-CSF) [300] as well as interleukins such as IL-2 [318], IL-12 [319], IL-17 [320], IL-18 [321]

Gynecomastia (rare, reported in male adolescents): Proposed mechanism involves GH-driven aromatase activity increasing estradiol