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Research indicates that the elevation of endogenous GH may assist with the maintenance of healthy visceral adipose tissue levels in research models by activating hormone-sensitive lipase (HSL) and promoting lipid mobilization

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Patients with secondary carnitine deficiency accumulate organic acids which causes enhanced urinary excretion of carnitine in the form of acyl-carnitines [36, 37]

The choice depends on individual clinical circumstances, including diabetes status, weight management goals, cardiovascular risk, renal function, and patient preferences regarding administration route and frequency