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Conversely changes in L-carnitine gut metabolism could also reflect alterations in its endogenous use as part of the L-carnitine system
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In an accompanying comment, Professor Eberhard Standl, from the Munich Diabetes Research Group eV in Neuherberg, Germany, said the meta-analysis provided robust data that there was no cardiovascular safety issue with GLP-1 receptor agonists
Trials such as TRANSCEND-T2D include enrolling adults around the world with type 2 diabetes from various backgrounds, making these results more applicable to real-world patients