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Study inclusion consisted of meta-analyses of randomized controlled trials (RCTs), with subjects aged 18 years or older, using L-carnitine as the intervention, with a control or placebo group, a duration of follow-up of 2 weeks, and outcomes including lipid profiles and changes in TG, HDL-C, LDL-C, and TC
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Under these conditions, significant associations have been reported between NEB and hepatic ammonium concentration, and between liver ammonium and pyruvate, suggesting increased usage of amino acids from body reserves as an energy source ( Galvis et al., 2010 )
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