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This causes metabolic imbalances, endoplasmic reticulum stress, inflammation, and the activation of growth-inhibiting signaling pathways ( The primary antioxidant defense in cells is mediated through enzymatic and non-enzymatic systems, including factors such as glutathione (GSH), glutathione peroxidase (GPX), catalase (CAT), and superoxide dismutase (SOD) ( The Keap1-Nrf2 signaling pathway plays a crucial role in mediating the antioxidant system

Several such trials and multiple systematic reviews through 2023 and 2024 show modest but statistically significant reductions in body weight, BMI, and fat mass with oral L-carnitine supplementation

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Rotating injection sites and using proper injection techniques can minimize discomfort