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[28] In addition, it gave the best ketogenic effect in the 4-8 hour window, [28] yielding longer-lasting effects

and elevated fibroblastic growth factor-23 (FGF23) levels (Figure 2) (Neyra et al., 2020a)

Despite the above findings, treatment with L-carnitine does not always show changes in insulin levels even though the majority of studies report reduced serum glucose levels, TGs, fatty acids and ketone levels [8,109], sometimes without insulin changes

A previous study showed that Vitamin-U able to lower SGOT, SGPT, and ALP levels in valproic acid-induced liver injury in rats (Sokmen BB, et al ., 2012)