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L-carnitine is a naturally occurring amino acid that plays a key role in how your body uses energy, moving long-chain fatty acids into the mitochondria your cells powerhouses

Research has explored its role in tissue repair signaling, including tendon and ligament healing and gut lining integrity

In vitro and animal studies suggest roles in tendon-to-bone healing, intestinal mucosal repair, and ligament recovery, with the nitric oxide system proposed as a key mediator

Monitoring fasting glucose and considering insulin sensitivity markers during cycles helps identify early signs of metabolic disruption

It may be related to the rapid weight loss itself (telogen effluvium) rather than a direct drug effect