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had a little weight gain & is more active, even jumping up a little

Furthermore, L-carnitine may also positively contribute to glucose homeostasis, through downregulating the gluconeogenic enzymes expression, including phosphoenolpyruvate carboxykinase (PCK1) and fructose-1,6-bisphosphatase isozyme 2 (FBP2), while upregulating the glycolytic enzymes expression, e.g., pyruvate kinase and glucokinase (10)

[DOI] [PMC free article] [PubMed] [Google Scholar] 142.Ghigo E., Arvat E., Valente F., Nicolosi M., Boffano G.M., Procopio M., Bellone J., Maccario M., Mazza E., Camanni F

Clinical protocols typically start at 1ml weekly for four weeks, then adjust based on patient-reported energy levels, serum homocysteine trends, and weight loss velocity

The Role of L-Carnitine in Fat Metabolism