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Overall, further research is needed to clarify the direct effects of visceral fat pad expansion on hepatic and extra-hepatic metabolic regulation and the extent to which these effects are mediated by molecules secreted into the portal vein

La L-carnitina puede tener efectos secundarios leves y poco frecuentes, como diarrea, irritabilidad y posibles interacciones con medicamentos

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A study shows that vitamin B12 increases due to the inductive effect of metformin by increasing calcium intake