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Concerns regarding a link between GLP-1 and the more common papillary thyroid carcinoma (PTC) have also been raised as cells of this lineage do express GLP-R more than normal thyroid tissue 51 although evidence that the use of these drugs in humans causes increased cellular proliferation is not conclusive
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L-Carnitine has also been shown to influence lactic acid turnover, and could, therefore, be beneficial to those horses prone to increase muscle enzyme build-up
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