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[DOI] [PMC free article] [PubMed] [Google Scholar] 108.Mansournia N., Mansournia M.A., Saeedi S., Dehghan J

[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

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Studies have shown that excessive accumulation of reactive oxygen species induces abnormal expression of NKG2D ligands (MICA/ULBP), which activates NK cells and exacerbates immune attack

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