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Although the results indicated an increment in the expression levels of Star, Cyp11a1 , and Hsd17b3 in the MSG + LC 100 group compared to the MSG group, the differences were not statistically significant

Inhibiting carnitine metabolism would need to be evaluated with caution, as carnitine deficiency can cause severe phenotypes including muscle wasting, heart failure, liver damage, and cognitive delays 42

5 Prediabetes is a significant risk factor for DN, with the prevalence of DPN among prediabetes individuals ranging from 6 to 25%