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If youve recently increased your activity level, it could just be delayed onset muscle soreness (DOMS) from exercise, which is a normal physiological response to new or increased physical exertion, typically peaking 2472 hours after activity and gradually improving after 35 days

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measured the content of acylcarnitines in plasma, DBSs, bile spots, and urine using FI-MS/MS and derivatization analysis (Smith and Matern, 2010)

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A response usually is seen within 48 to 72 hours, with brisk production of new red blood cells