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The mechanism is mainly through stimulation of the nitric oxide system, with secondary effects on VEGFR-2 (which drives angiogenesis and explains the wound healing), the serotonin and dopamine systems, COX-2, and HO-1

Science 278 , 135138 (1997)

And even if your diet provided the required levels of L-carnitine needed for optimal fat utilization and physical performance, illness and other stressors can make it difficult to maintain a well-balanced diet all the time

This uncertainty forms a central litigation allegation manufacturers rushed medications to market and promoted them for off-label weight loss without adequately studying or disclosing potential permanent digestive damage

Increase Fiber Gradually Adding fiber too quickly can worsen bloating, so gradual increases are best

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