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Choosing closed circuit cooling towers over this open tower/heat exchanger combination may still be a better choice for the following reasons: Total cost: Addition of a heat exchanger (pump, piping, etc.) to the open tower loop brings the initial cost much closer to that of the closed circuit tower system Single piece of equipment: Compact design of the closed circuit tower conserves space in a self-contained package, compared to multiple locations for the tower/heat exchanger arrangement Maintenance: Narrow spacing in the heat exchanger (e.g

Both groups achieved significant weight loss by week 18, but the carnitine group lost more body weight (23.7% vs 19.6%)

1,72 The prevalence of mixed fiber neuropathy is substantial, with up to 50%

Martinat et al., 2006

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