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When the medication is stopped or dose-adjusted, those hunger signals can return, making habit maintenance critical

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CSU is frequently associated with autoimmune comorbidities but coexistence with metabolic diseases is less evident

Adding resistance training and adequate protein intake can further improve this ratio in favor of fat loss

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In the present study, d-carnitine not only stimulated the expression of genes involved in glycolysis and reduced the expression of genes involved in gluconeogenesis, but also reduced liver glycogen stores and enhanced the production of lactic acid and d-citramalic acid from pyruvate, as demonstrated by the metabolomics data