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30 A randomized controlled trial of 247 adults with nonalcoholic steatohepatitis found improvement in AST and ALT levels with the use of vitamin E and pioglitazone but no improvement in fibrosis
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This dual mechanism is what separates it from single-agonist medications like semaglutide and explains why clinical trial results showed superior weight loss outcomes
It is an acetylated form of L-carnitine, which is involved in energy production, brain function, and nerve health
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