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Additionally, diabetic renal dysfunction may also contribute to secondary carnitine deficiency, because the kidneys are not only responsible for reabsorption, but also serve as a major site of carnitine biosynthesis

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Christoffersen B, Sanchez-Delgado G, John LM, Ryan DH, Raun K, Ravussin E (2022) Beyond appetite regulation: targeting energy expenditure, fat oxidation, and lean mass preservation for sustainable weight loss

With type 2 diabetes, a persons insulin either doesnt work properly, or there is not enough of it, causing blood sugar levels to become too high (2)

Theranostics: a multifaceted approach utilizing nano-biomaterials