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Maybe, it could be related with the fact that hepatic acyl-CoA cholesterol acyl transferase must first be stimulated by exogenous cholesterol before a stimulatory effect by L-carnitine can take place 31, 32
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In: Akute Komplikationen des Diabetes: Hypo- und hyperglykmische Entgleisungen
Expert Rev Clin Pharmacol 9:2734 Allas S, Caixas A, Poitou C, Coupaye M, Thuilleaux D, Lorenzini F, Diene G, Crino A, Illouz F, Grugni G et al (2018) AZP-531, an unacylated ghrelin analog, improves food-related behavior in patients with PraderWilli syndrome: a randomized placebo-controlled trial