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The purpose of this review is to comprehensively investigate of the emerging understanding of the pleiotropic role of the carnitine pool, carnitine/acylcarnitines are not only auxiliaries or metabolites of fatty acid oxidation, but also play more complex and diverse roles, including energy metabolism, mitochondrial homeostasis, epigenetic regulation, regulation of inflammation and the immune system, tumor biology, signal transduction, and neuroprotection

No study has established the long-term safety of the four peptides used together

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This approach includes inhibiting transporters and key metabolic enzymes to reduce nutrient uptake and utilization, as well as decreasing the production and release of metabolites such as lactate to remodel the TME