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When converted to L-Carnitine by the enzyme Gamma-butyrobetaine dioxygenase (GBD), GBB works to ensure that the L-Carnitine lost through the conversion of free fatty acids to ATP (energy molecule used for exercise etc.), through beta oxidation, in the mitochondria is quickly replenished

Current research suggests that peptide therapies may be well tolerated when prescribed appropriately and monitored by qualified healthcare professionals

doi:10.1007/s00405-018-5146-6 Karatas A, Acar Yuceant G, Yuce T, Haci C, Cebi IT, Salviz M

Think of it as reducing background noise so the medications real effect is easier to measure