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Researchers could not address potential clustering effects that could happen at the clinical site level because of the nature of the study

L-carnitine may modestly improve the ratio of fat loss to muscle loss by enhancing fatty acid oxidation, reducing the body reliance on protein breakdown for energy

Metabolic analysis Oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) were measured with a 24-well XF Extracellular Flux Analyzer (Agilent Technologies) and Seahorse Wave Controller Software (Agilent Technologies), according to the manufacturers instructions

According to Pfiffner this has not been demonstrated as the randomized controlled trial that he cited from Dean Ornish did not show regression of atherosclerotic plaque