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The serum concentrations of LPCs, O-LPCs, several sphingomyelins (SMs, (40:2)/(18:1/22:1), d40:1), BCAAs and their breakdown products decreased in patients with severe TBI, whereas the levels of the medium chain fatty acids decanoic acid and octanoic acid increased with severity ( Table 2) [31]

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1 H NMR (400 MHz, Chloroform-d) = 9.30 (d, J = 5.7 Hz, 1H), 8.50 (d, J = 7.9 Hz, 1H), 8.21 8.07 (m, 3H), 7.69 (t, J = 6.8 Hz, 1H), 7.09 (dd, J = 9.3, 4.7 Hz, 2H), 6.17 (d, J = 6.3 Hz, 1H), 5.85 (dd, J = 15.4, 6.5 Hz, 2H), 5.69 (d, J = 6.3 Hz, 1H), 4.37 4.28 (m, 2H), 3.92 (s, 2H), 2.50 (s, 3H), 2.33 2.21 (m, 1H), 2.14 (p, J = 6.1 Hz, 2H), 1.08 (d, J = 6.9 Hz, 3H), 0.99 (d, J = 6.9 Hz, 3H)

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