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Mealworms with low carnitine "died fat", because they could not metabolize their stored fat when starved

Similar observations were made in the cases of lung cancer, ovarian cancer, and squamous cell carcinoma (164167)

Unlike full-sequence HGH, AOD-9604 is studied for its ability to promote fat breakdown without influencing blood sugar or IGF-1 levels , making it a focus of metabolic and weight management studies

PubMed, Martchenko, Alexandre, and Patricia Lee Brubaker

The short answer is: They can be, in the right context

When managed by a medical professional who understands dose titration and patient monitoring, peptide therapies have a strong safety profile