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Treatment consists of pharmacological doses of L-carnitine that are meant to maintain a normal blood carnitine concentration, thereby preventing the risk of hypoglycemia and correcting metabolic and myopathic manifestations (34)

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Growing evidence suggest that the elevation of GLP-1 is also critically involved in the effects of metformin, gut microbiota, and bariatric surgery on metabolic homeostasis 3,4,5,6

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