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In a previous paper we have suggested that the effect of L-carnitine in this experimental model could be associated with increased systemic breakdown of cholesteryl esters, a probable increase in reverse cholesterol transport, and the stabilization of a phospholipid-based structure of the abnormal VLDL + LDL particles 15

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Other biochemicals, such as prostaglandins produced by abnormal endometrial tissue, could result in uterine contractions that make implantation difficult (Bulletti 2010)