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In patients with fatty liver or metabolic conditions, periodic monitoring of ALT, AST, and metabolic parameters is advisable to document clinical improvement

Mahar Metabolic and mechanical effects using L- and D-carnitine in working swine hearts

Triggers of elevated ceramide levels comprise hyperosmotic shock [122], secreted sphingomyelinases (SMases) during inflammation [125], sepsis [126] or severe coronavirus disease 2019 (COVID-19) [127], Clostridium perfringens epsilon toxin [128], and platelet-activating factor [129]

GLP-1, or glucagon-like peptide-1, is a naturally occurring hormone that helps regulate appetite, digestion, and insulin release, promoting a sense of fullness after meals

The primary sources of ROS include mitochondria, NADPH oxidase, and xanthine oxidase (58, 59)