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While most published studies use oral formulations rather than injections, they support the underlying principle that addressing energy metabolism and oxidative stress together may be more effective than targeting either alone

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Future research should employ pragmatic and innovative strategies: first, leveraging real-world data through nested case-control studies linking dietary supplement usage with cancer registries to generate preliminary epidemiological insights into the association between long-term L-carnitine use and HCC incidence in MASLD populations