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With an anatomic total shoulder replacement, the ball (humeral head) of the shoulder joint is replaced with an implant that includes a stem with a smooth, rounded metal head

However carnitine depletion may also occur due to some surgery or genetic disorder

Figure 6 Mitochondrial Functional Markers There was no significant difference in MnSOD, Tom-20 and OXPHOS complexes among the three groups at P1 (Figures 7A,D,G)