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They catalyze processes such as gluconeogenesis, fatty acid oxidation, and ketone body synthesis, particularly during carbohydrate shortfalls

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Cozza A, Chinig C, Filicetti E, Greco GI, Lappano R, Marinaro C, Muglia L, Soraci L, Corsonello A, Lattanzio F, Volpentesta M (2025) Effects of antidiabetic medications on the relationship between type 2 diabetes mellitus and cognitive impairment

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they require the assistance of a shuttle or taxi. L-Carnitine is the intracellular taxi that shuttles fatty acids into the mitochondria so they can be oxidized (burned) for energy via -oxidation

Another new study weighs in on the effectsgood and badof glucagon-like peptide-1 (GLP-1) receptor agonist drugs and the eye