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Research demonstrates that acetyl-L-carnitine ameliorates insulin resistance through multiple mechanisms: restoring tissue carnitine levels in skeletal muscle and myocardium, improving mitochondrial -oxidation of fatty acids to reduce accumulation of lipotoxic intermediates, enhancing glucose disposal and oxidation capacity, and reducing inflammatory signaling that impairs insulin receptor function

The good news: most side effects diminish or disappear within the first week as tolerance develops

This is a compounded formulation of Semaglutide produced by Olympia Pharmaceuticals

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Several meta-analyses showed that L-carnitine supplementation improved steatosis and NASH (67) and carnitine supplementation in NAFLD patients could reduce AST, ALT, TG, and HOMA-IR (95)