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Researchers with metabolic syndrome, elevated liver enzymes, or suspected NAFLD have a metabolic profile that aligns well with the dual benefits of tirzepatide (glycemic control, appetite reduction) and levocarnitine (enhanced hepatic fat oxidation, improved insulin sensitivity at the cellular level)

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This is reflected by the activity of protective antioxidant pathways such as mitochondrial uncoupling and the Nuclear factor E2-related factor 2 (NRF2), which are weakened or bypassed in diabetes, allowing oxidative damage to accumulate [9]

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