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For example, it was found that carnitine as a supplement may be used to treat diabetes mellitus (29, 30), liver cirrhosis (31), dyslipidemia (32), hypertension (33), heart failure (34), coronary artery disease (35), non-alcoholic fatty liver disease (36), Alzheimers disease (37), migraine (38), and muscle injury (39)

Sleeve gastrectomy removes up to 80% of the stomach, significantly reducing parietal cells and intrinsic factor production needed for B12 absorption

This represents an alternative strategy for metabolic applications where GH's fat-mobilizing properties are desired without the full GH/IGF-1 axis activation that GH secretagogues produce