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The authors write that they suspect the two medications had synergistic effects in the patient, leading to adequate control of his blood sugars yet a state of starvation, ketone production, and resultant systemic acidification
Palmitoyl-L-carnitine modifies the function of vascular endothelium [PMID: 7509258] Laboratory literature summary: Palmitoyl-L-carnitine modifies the function of vascular endothelium
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The clinical implication is not substitution but combination: aggressive ApoB lowering to address the lipid driver of atherogenesis, paired with incretin therapy to address residual cardiometabolic and inflammatory risk
Large meals sit like rocks, causing nausea, bloating, and reflux
