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In cachexic subjects, sustaining catabolism and inflammation will accelerate the production of TNF-, IL-6 and IL-1 to block lipoprotein lipase [49] and the L-carnitine-induced fatty acid transfer system, leading to hypertriglyceridemia and hypercholesterolemia [21, 22]

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Protection of the skin against solar damage, by sunburn and suntan either by natural sunlight, tanning beds, or the use of sunlamps, is necessary, especially if a positive family history is given

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