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Increased skin fragility Skin becomes drier and more prone to bruising due to a compromised barrier function

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The liberated carnitine returns to the cytosol

J Biol Chem 267:2134421348 Wang X, Misawa R, Zielinski MC, Cowen P, Jo J, Periwal V, Ricordi C, Khan A, Szust J, Shen J, Millis JM, Witkowski P, Hara M (2013) Regional differences in islet distribution in the human pancreaspreferential beta-cell loss in the head region in patients with type 2 diabetes

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

It prioritizes protein (critical for maintaining muscle mass during weight loss), provides fiber from vegetables and complex carbs, and limits but does not eliminate fat