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Keywords: high-density lipoprotein, L-carnitine, low-density lipoprotein, total cholesterol, triglyceride INTRODUCTION It is well known that the liver plays an important role in lipogenesis, gluconeogenesis, and cholesterol metabolism (Ponziani et al., 2015)

Given the complex pathophysiology of T2DM, dual and triple therapy regimens are often needed for patients to meet individualized glycemic goals

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In either form, the goal is to enhance the bodys own pulsatile growth hormone production rather than bypassing the endocrine system entirely