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All fat cells release hormones, but because visceral fat is stored next to your organs, its more likely to interfere with organ functions, which can lead to greater insulin resistance (type 2 diabetes), higher blood pressure, higher bad cholesterol (LDL) levels in your blood stream, and increase risk for heart disease and stroke

References: Carnitine: Fact Sheet for Consumers Carnitine: Fact Sheet for Health Professionals

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For example, collagen is a protein that is made up of peptides (its more complex than this but you get the gist)