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Studies show an age-adjusted incidence of 2.4 per 100,000 person-years for males and 9.8 for females [4]
Importantly, a randomized controlled trial demonstrated that L-carnitine supplementation reduces the intramyocellular-to-extramyocellular lipid ratio in NAFLD patients, suggesting enhanced clearance and utilization of intracellular lipid stores in skeletal muscle independent of weight changes (41)
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However, extensive bruising covering large areas, bruising that worsens rather than improves over days, or bruising accompanied by swelling, warmth, or pain may indicate infection, hematoma formation, or vascular injury
Severe abdominal pain, repeated vomiting, dehydration, or allergic symptoms need prompt medical attention
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