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The first is metabolic symbiosis between tumor cells: hypoxic cells export lactate and protons via MCT4, while normoxic neighbors import it via MCT1 for oxidative phosphorylation, thereby optimizing intra-tumoral resource utilization [45]

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The levels of each liver health measurement before and after the study for each group are shown in the table below: For the researchers, patients with NASH who were treated with L -carnitine compared with patients who were treated with placebo have (a greater) improvement in (the markers for liver health) and suggest that L-Carnitine exerts its health effects by helping detoxify the liver

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