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One trial 14 had a high risk of bias for efficacy outcomes due to missing outcome data

(2013) put it, the GHSR1a is quite a promiscuous receptor, not only with other receptors but also with itself

Treatment consists of pharmacological doses of L-carnitine that are meant to maintain a normal blood carnitine concentration, thereby preventing the risk of hypoglycemia and correcting metabolic and myopathic manifestations (34)