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Additionally, other research has demonstrated that intracellular lactate accumulation following MCT inhibition may lead to end-product inhibition of LDH, thereby impairing NAD+ regeneration capacity (59)

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Your doctor will typically monitor: Weight and blood pressure Blood sugar levels Kidney and liver function Cholesterol profile and other cardiometabolic markers, where appropriate Follow-ups are usually scheduled every two to three months initially, then spaced further apart (e.g