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Disruption of carnitine homeostasis is also associated with pulmonary vascular endothelial dysfunction, and carnitine supplementation can alleviate this endothelial dysfunction by restoring nitric oxide signaling and reducing reactive oxygen species production [311]
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Access limitations or urgent medical need for metabolic control In some real-world cases, patients may face barriers to thyroid care (such as long wait times for endocrinology appointments) but have immediate access to a weight loss or diabetes program that includes GLP-1 medications
