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10.1515/BC.2009.033 Biol Chem

Repeated injections in one area can cause lipohypertrophya thickened, firm buildup of fatty tissue that slows medication absorption

A meta-analysis found that metabolic-bariatric surgery improved steatohepatitis in 59% of patients and improved or resolved liver fibrosis in 30%

However, skeletal muscle-specific carnitine palmitoyltransferase 2 (CPT2)-deficient mice accumulate large amounts of acylcarnitine in muscle and plasma and still preserve insulin sensitivity [75], highlighting the role of acylcarnitine only as an indicator of FAO rather than as a direct mediator of insulin resistance [76]

It doesn't just "switch off" inflammation