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Abbreviations AMPK: 5-AMP-activated protein kinase CHT: Choline transporter DPP4: Dipeptidyl peptidase-4 DR: Delayed release 18 F-FDG: 18 F-fluorodeoxyglucose FXR: Farnesoid X receptor GI: Gastrointestinal GIMM: Gastrointestinal microbiome modulator GIP: Gastric inhibitory polypeptide GLP-1: Glucagon-like peptide 1 GoDARTS: Genetics of Diabetes and Audit Research Tayside Study 5-HT: Serotonin NMDA: N -methyl-d-aspartate OCT: Organic cation transporter PET-CT: Positron emission tomographycomputed tomography PKA: Protein kinase A PMAT: Plasma membrane monoamine transporter SERT: Serotonin transporter SGLT1: Sodiumglucose transporter 1 References Bailey CJ, Day C (1989) Traditional plant medicines as treatments for diabetes

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A longitudinal clinical study in subjects at increased cardiovascular risk found that 6-month oral supplementation with acetyl-L-carnitine (2 g/day) significantly reduced arterial blood pressure and improved insulin sensitivity in insulin-resistant individuals, with effects progressively waning after treatment withdrawal

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Additional factors such as increased release of adiponectin from adipose tissue, amelioration of insulin resistance in liver and peripheral tissues, and improved circulatory lipid profile all contribute to the reduced risk of ASCVD (267)

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NAD+ is central to mitochondrial function and cellular repair mechanisms: Rajman L

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