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A 2023 meta-analysis that included eight studies involving 544 participants with NAFLD found that L-carnitine reduced (improved) liver enzymes ALT, AST and triglycerides compared to placebo
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Moreover, the entire plasma -tocopherol pool is replaced daily because of the continued re-secretion from the liver of VLDL containing -tocopherol (15)
All studies were also cross-sectional in nature, which limits conclusions that can be drawn
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