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Selinger et al., 2019

The term lipotropic literally means fat-loving, referring to compounds that promote the transport, breakdown, and removal of fat from the liver

routine use in replete patients has limited evidence

Mechanisms of Action Stimulates lipolysis: Enhances the breakdown of stored fat into free fatty acids, which can then be used for energy Inhibits lipogenesis: Suppresses the enzymes responsible for creating new fat tissue, reducing the bodys tendency to store excess energy as fat Promotes fat oxidation: Encourages the body to burn fat as fuel, especially in combination with calorie control and exercise

Patients may not feel an improvement for the first four to six weeks after their second infusion of rituximab, but this does not mean that the medication is not going to work
Sleep impairment in patients with painful diabetic peripheral neuropathy
