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Furthermore, L-carnitine upregulates genes involved in fatty acid transport and mitochondrial -oxidation ( Octn2, Cpt1a, Cpt2, Acadm ) while increasing metabolites associated with TCA cycle, urea cycle, and antioxidant pathways (malate, citrulline) (45)

Thus, any local change in elastic fiber content can cause penile deformation

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l-carnitine treatment of insulin resistance: A systematic review and meta-analysis
