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However, people with kidney disease, liver disease, seizure disorders, thyroid conditions, cardiovascular disease, pregnancy, breastfeeding, cancer history or prescription medication use should speak with a healthcare professional before supplementing

L-carnitine likely affects cells apoptosis in several ways: Firstly, LC effectively inhibits the mitochondrial membrane depolarization and permeability, resulting in apoptosis by transferring the accumulated long-chain fatty acid surrounding mitochondria

Moreover, it plays an immune negative regulatory role in chronic hepatitis B virus (HBA) infection by preventing the formation of germinal centers (GCs), reducing the antiviral activity of GC-related immune cells and enhancing the function of immunosuppressive cells [227]
Fat metabolism involves breaking down stored fat into fatty acids, which are then transported into cells to be oxidised and used as fuel

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10 Limitations of the study This study is a narrative review, which entails several important limitations
