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SGLT2 inhibitors are on the same path (diabetes drugs, now showing heart and kidney benefits beyond glucose control)

Regulating acid-base balance : Glutamine can help maintain the pH balance in the body by donating ammonia to form ammonium, which can buffer excess acids in the blood and urine

the acetate salt form is especially useful

In summary, L-carnitine appears to balance hepatic lipid metabolism by simultaneously promoting -oxidation and inhibiting lipogenesis, though detailed SREBP1-related pathway mechanisms warrant further investigation