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During hard exercise there is extensive loss of L-Carnitine, and this often cannot be replaced adequately from the diet alone

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While medications like Wegovy or Ozempic are highly effective for fat loss, the body does not always differentiate between burning fat and breaking down muscle when it is in a significant caloric deficit

Corticosteroids promote: Insulin resistance : reducing the body's ability to utilise glucose effectively Increased hepatic gluconeogenesis : stimulating the liver to produce more glucose Lipogenesis : promoting fat synthesis and storage Redistribution of body fat : encouraging central adiposity Hyperglycaemia : elevating blood sugar levels, which can progress to steroid-induced diabetes These metabolic disturbances directly counteract the therapeutic goals for managing fatty liver disease

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Ordinary one-way ANOVA with Tukeys multiple comparisons test (Control vs