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This pressure has introduced some level of healthy competition in this arena

Metabolism 2002;51(11):1389-1391 Wutzke KD, Lorenz H: The effect of L-Carnitine on fat oxidation, protein turnover, and body composition in slightly overweight subjects

It has been suggested that this effect, favoring insulin secretion, might constitute an adaptive response of the intestine to counterbalance diet-induced insulin resistance