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In particular, we observed negative association of C3DC, C10:1, and C10:2 with breast cancer, which is partly consistent with a previous study where serum carnitine levels were lower in cases than in controls after radiotherapy ( Given the high prevalence of breast cancer in females, circulating levels of C3DC, C4, C10:1, and C10:2 may have large clinical implications for breast cancer diagnosis as well as potentially risk assessment and treatment