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Additionally, L-Carnitine: Buffers acetyl-CoA buildup during high-fat metabolism Mitigates toxic acyl-CoA accumulation in metabolic diseases Scavenges free radicals and chelates metal ions (antioxidant role) Regulates membrane fluidity and stabilizes mitochondrial membranes Modulates fatty acid oxidation enzymes via PPAR pathways Carnitine deficiency is linked to mitochondrial dysfunction, muscle weakness, and lipid accumulation

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Beyond its high prevalence and disease burden, DKD markedly increases cardiovascular disease (CVD) risk and mortality [4]

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