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It is also reported that L-carnitine supplementation can improve the glycemic status and related indices by changing the expression of genes related to glycolytic and gluconeogenic enzymes, modulating the activity of the pyruvate dehydrogenase enzyme complex, and changing the expression of genes involved in insulin metabolism (94, 95)
Understanding all of these factors makes it more clear as to why losing weight may require more than just 1 therapy
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