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Collectively, these hepatic actions prevent steatosis and limit lipid spillover to adipose and muscle tissues, alleviating insulin resistance

Stephens, B.T
However, evidence is still emerging, and further well-designed randomized controlled trials are needed to develop the most effective and safe nutritional strategies for patients with FM

doi: 10.1016/j.expneurol.2007.06.009

Carnitine may be involved because its concentration in tissues declines with age, which deteriorates the mitochondrial membrane