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Animal feed applications capture 37.8% , highlighting L-Carnitines importance in improving livestock growth and metabolism

Importantly, their influence extends to skeletal muscle, where GLP-1 RAs promote glucose uptake via the AMP-activated protein kinase pathway, increase vascular blood flow, and mitigate glucotoxicity, thereby supporting muscle protein synthesis and inhibiting catabolic pathways [14, 15]

During the course of the study, there was no change to the therapeutic regime other than the introduction of parenteral cobalamin supplementation