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The same paper also included a nested case-control component of 120,054 patients with T2DM followed for 7.4 years and observed a lower association between dementia and exposure to GLP-1RAs compared with other antidiabetics 39

Seems like a paradox, but L-carnitine is efficient in burning fat only if you consume sufficient quantities of sugar aka carbohydrates

However, research in young, cognitively healthy adults shows limited or no cognitive enhancement, suggesting benefits are most pronounced in individuals with age-related decline, metabolic stress, or neurodegenerative pathology