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ACS: acute coronary syndrome AF: atrial fibrillation ALC: acetyl- L -carnitine ASCVD: atherosclerotic cardiovascular disease ATP: adenosine triphosphate BCAAs: branched-chain amino acids CAD: coronary artery disease CKD: chronic kidney disease CPT: carnitine palmitoyltransferase DRIs: Dietary Reference Intakes ER: endoplasmic reticulum F/B: Firmicutes-to-Bacteroidetes FMOs: flavin monooxygenases FNB: Food and Nutrition Board GPLC: glycine propionyl- L -carnitine GSH: glutathione HF: heart failure IL-6: interleukin 6 LC: L -carnitine LC-MS/MS: liquid chromatography-tandem mass spectrometry MACE: major adverse cardiac events MAFLD: metabolic-dysfunction-associated fatty liver disease MDA: malondialdehyde MI: myocardial infarction NAFLD: non-alcoholic fatty liver disease NF-B: nuclear factor kappa-light-chain-enhancer of activated B cells PH: pulmonary hypertension SCD: sudden cardiac death SCFAs: short-chain fatty acids SYNTAX: Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery T2D: type 2 diabetes T2DM: type 2 diabetes mellitus TC: total carnitine TCA cycle: tricarboxylic acid cycle TMA: trimethylamine TMAO: trimethylamine- N -oxide HSW: Conceptualization, Writingoriginal draft, Writingreview & editing, Supervision, Validation

Moreover, lactate contributes to epigenetic reprogramming via histone lactylation

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When comparing lipotropic injections vs semaglutide, lipotropic injections primarily focus on enhancing fat metabolism and boosting energy through nutrients like B12 and amino acids, while semaglutide targets appetite suppression and blood sugar regulation for weight loss

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Table 4 offers instructive examples from preclinical studies for improving nanoparticle efficiency, including size, surface modifications, and biocompatibility