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In conclusion, MASLD pathogenesis involves complex interactions among multiple metabolic pathways, including dysregulated lipid metabolism, insulin resistance, inflammation, and oxidative stress

10.1016/j.amjcard.2003.11.032

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While the body can synthesise small amounts of carnitine from lysine and methionine (found in dal and dairy), this endogenous production may not meet the brains elevated demands during periods of cognitive stress

Kepka A, Ochocinska A, Borzym-Kluczyk M, Skorupa E, Stasiewicz-Jarocka B, Chojnowska S, Waszkiewicz N (2020) Preventive role of L-carnitine and balanced diet in alzheimer's disease

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