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Phase II metabolism, also known as conjugation, typically involves the covalent attachment of endogenous moleculessuch as glucuronic acid, sulfate, or methyl groupsto nucleophilic functional groups on the substrate, including hydroxyl, carboxyl, or amino groups

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Documented benefits include improved insulin sensitivity in type 2 diabetes ( 3 Effects of L-carnitine on systemic metabolism 3.1 L-carnitine promotes fatty acid metabolism The multifaceted mechanisms by which L-carnitine modulates metabolic dysfunctionassociated steatotic liver disease are schematically summarized in Figure 1

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