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Specifically, this activation effect is mainly reflected in two aspects: it further activates the downstream mTOR molecules through the Akt-mTOR axis, directly promoting the synthesis of muscle proteins and inhibits the binding of the myostatin promoter, thereby reducing the expression of myostatin and ultimately alleviating muscle atrophy
Vidal-Casariego 2013 meta-analysis: Four RCTs with 284 type 2 diabetes patients showed 23 g/day L-carnitine for 1252 weeks reduced fasting glucose, total cholesterol, LDL cholesterol, and apolipoproteins B100 and A1 but NOT triglycerides, lipoprotein(a), or HbA1c [3][43]
Report any new or worsening symptoms, share your weight loss progress, and discuss whether 15 mg remains the appropriate dose for your situation