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L Carnitine
This is one of the questions patients most frequently ask, and the clinical answer is clear: it is almost always better to start earlier than later
Diabetes 2014;63:4079
Improvement in wound healing were seen in normoglycemic mice, suggesting a role independent of glucose control and in-vitro studies have shown that GLP-1RAs may directly improve wound healing, independent of blood glucose control, through the reduction of CRP and MMP-9/TIMP-1 ratio, endothelial protection and angiogenesis secondary to increased AMPK, increased endothelial cell proliferation due to stimulation of CD31+ cells, P13/AKT induced keratinocyte migration, increased vascularity and dermal and epidermal regeneration due to increased phosphorylated eNOS and VEGF R2, as well as increased endothelial progenitor cells, fibroblasts, and myofibroblasts
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