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Ceramides are lipids (fats) that act as the mortar holding your skin cells (the bricks) together
Carnitine synthesis requires gamma-butyl betaine hydroxylase, and premature infants have a limited capacity to synthesize L-carnitine themselves, having only 1215% of the synthesis ability of adults (3335)
It remains expensive largely because a generic version is not available, and generic medication is usually more affordable
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