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Name: why does l carnitine make me smell like fish L-Carnitine Get Rid of Fishy L-Carnitine
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Antigen-presenting cells present antigens like AChR or MuSK to naive CD4 + T cells, initiating the autoimmune response

Another characteristic feature is resorptive loss of acral bone (acro-osteolysis), in particular at the terminal phalanges, at the distal end of the clavicles, and in the skull (pepper-pot aspect) (Figure 17)