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However, some people may have mild side effects, especially when they start using them

Int Arch Occup Environ Health 2006

84 ACC inhibitors reduce hepatic steatosis in patients with MASLD, but they also increase serum triglycerides

In good agreement with the above-described processes, carnitine seems to be involved also in insulin sensitivity (Figure 1): it was observed that the muscle accumulation of fatty acyl-CoA derivatives or acyl metabolites inhibits both insulin signaling and glucose oxidation (Pietrocola et al., 2015

If that's your expectation, you need this reality check upfront: no botanical supplement - including this one - has been shown to produce effects comparable to FDA-approved GLP-1 receptor agonist medications