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This can make treating it more difficult

[8] This type of injury does not have a clear dose-response nor temporal relationship, and most often does not have predictive models

It is widely available as an over-the-counter dietary supplement, with the global market valued at $58.1 million in 2023, projected to grow to $97.5 million by 2033 [5]

A further putative mechanism underlying the development of retinopathy involves the elevated plasma levels of hydroxyacylcarnitines and hydroxy fatty acids reported during metabolic crises that may have a role in the destruction of retinal cells [51]