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However, production is costly, requiring specialized equipment like homogenizers and techniques such as microfluidization and ultrasonication

ACOX and branch-chained acyl-CoA oxidase (another peroxisomal enzyme involved in FAO) mRNA levels were higher in patients with NAFLD compared to controls, indicating that peroxisomal FAO upregulation may be a compensatory response aiming to resolve the progressing steatosis in NAFLD [45, 107]

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Available at: Accessed 7/18/2011

Even so, it lives inside the same population people with HIV and does not automatically generalize to non-HIV fatty liver disease