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Of note, supplementation with L-carnitine was given in patients with cirrhosis to control hyperammonemia (N=27), to reduce muscle cramps (N=6), or to prevent carnitine deficiency (N=2)
Maintenance phase (post week 8)
Most of the otherwise not digestible carbohydrates are fermented by the microbial community to produce short-chain fatty acids (SCFA), of which acetate, propionate, lactate, and butyrate are the most important [72]
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"Over time, if the pancreas stops making insulin, some people with type 2 will also need insulin, says Knapp
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![Mechanism of action of GLP-1 [25]](https://www.researchgate.net/publication/256289222/figure/fig1/AS:614177232142337@1523442671231/Mechanism-of-action-of-GLP-1-25.png)
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