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An athlete might be taking a protein powder or pre-workout that they believe is safe, but if it's manufactured in a facility that also handles unapproved peptides, cross-contamination can easily occur

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Clinical evidence demonstrates that L-carnitine supplementation reduces fasting blood glucose (37, 39, 53, 54), insulin levels (54, 55), glycated hemoglobin (HbA1c) (56, 57), and ameliorates insulin resistance (37, 53, 54) in NAFLD patients

Cell 184 , 25032519.e2517 (2021)