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Unlike oral administration, which has low bioavailability and can lead to the formation of TMAOa metabolite linked to cardiovascular risksubcutaneous injection of L-Carnitine ensures 100% bioavailability, bypassing gut bacterial metabolism

Patients should avoid carbonated beverages, which can increase bloating and discomfort, and instead choose water or unsweetened drinks

Fifth, cost-effectiveness analyses are critical given the high price of current GLP-1 RAs and the large potential treatment population: preliminary health-economic models suggest acceptable cost-effectiveness ratios in high-fibrosis patients with comorbid type 2 diabetes and cardiovascular disease, but robust data in broader MASLD populations are lacking

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Symptoms of low blood sugar can include dizziness, sweating, shakiness, confusion, weakness, and, in severe cases, loss of consciousness or seizures

However, our study size was small and its results need to be interpreted with caution