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En experimentacin en animales se ha podido corroborar que la deficiencia de carnitina puede ocasionar hgado graso

doi:10.1016/j.jad.2022.09.098 Pivato CA, Chandiramani R, Petrovic M, et al

Oral L-carnitine supplementation increases trimethylamine-N-oxide but reduces markers of vascular injury in hemodialysis patients
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In addition to EP4, EP3 signaling can suppress adipogenesis via the cAMP/PKA/PPAR pathway but also inhibits lipolysis mainly due to inhibition of cAMP/PKA/HSL (545), suggesting that the activation of different PGE2 receptors can exert different effects on white adipocytes

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