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moderate quality evidence) (El Sharkwy & Sharaf El-Din, 2019) and TG level in one group, which favored combination with LC (MD 9.00, 95% CI [11.46 to 6.54]

GH plays a role in dermal thickness and collagen biosynthesis, reversing age-related skin changes (Laron, Pediatric Endocrinology Reviews )

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Carnitine acyltransferases and LC transmit acyl groups between cell organelles and into the mitochondrial matrix, where -oxidation takes place, helping to contribute to the oxidation of fatty acids [6]

This process occurs through the carnitine shuttle system, which includes key enzymes such as carnitine palmitoyltransferase I (CPT I) and carnitine palmitoyltransferase II (CPT II)