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Irrespective of L-carnitine supplementation and ex vivo stimulation, significantly decreased values for coupling efficiency and bioenergetic health index ( Supplementary Table S3 ) were detected 14 d after the in vivo immune challenge compared to the first two time points

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As these therapies expand beyond diabetes into mainstream weight management, there is an increasing need for integrated solutions including nutritional support, side-effect management, and digital health monitoring

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