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In consequence, acylcarnitines constitute an appreciable component of the tissue carnitine pool, and tissue and plasma concentrations of carnitine and acylcarnitines are together maintained within relatively narrow limits by a variety of mechanisms, which influence in turn innumerable aspects of carbohydrate and lipid metabolism, including the regulation of insulin secretion by pancreatic -cells and the determination of tissue insulin sensitivity

Peptides act as signaling molecules, essentially telling other molecules what to do

doi: 10.1111/and.2019.51.issue-1 36 BischoffNSde KokTMSijmDTvan BredaSGBriedJJCastenmillerJJet al

That research is on a specific prescription formulation rather than Aqualyx itself, so it is fair to say the class is well studied even though Aqualyx is mostly backed by real-world clinical use