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Promoting a general class of products, including peptides broadly, can be treated as advertising prescription-only medicines
It may also contribute to better endurance and muscle growth through improved nutrient absorption
Furthermore, therapeutic drug monitoring and lifestyle changes may enhance the safety
Notably, the enantiomer D-carnitine may exert hepatotoxic effects (89), underscoring the critical importance of compound-specific safety evaluation and reinforcing that only the biologically active L-isomer should be considered for therapeutic use in MASLD
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