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While selenium deficiency is a major etiological factor of Keshan disease (54), the seasonal and annual variation in disease occurrence suggested that other factors, especially an infectious agent, might be involved in addition to selenium deficiency (55)

doi: 10.1080/00480169.1998.36089

(2005) reported that L-carnitine improves internal egg quality and production, with better emphasis on albumen

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These medications are called enzyme-inducing medicines [1]