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204 (1): 5460 Pisano C, Pratesi G, Laccabue D, et al

As lean mass increases and fat decreases at the same time, the scale may stay flat even while body composition improves

That said, a single-enzyme strategy can still be highly effective especially if you know your exact trigger and want a targeted, adjustable dose

Dependence on exercise L-Carnitine requires exercise to produce its fat-loss effect, because without active fat oxidation there is no substrate for it to transport