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This refers to topical application of L-carnitine rather than oral administration

This delayed gastric emptying is therapeutically beneficialit contributes to improved glycemic control and enhanced satietybut it also means that food remains in the stomach for extended periods, potentially leading to sensations of fullness, distension, and bloating

Subsequently, Glyoxalase II converts S-D-Lactoyl-glutathione to Reduced Glutathione and D-lactate