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The ability to accelerate healing from injury could provide an unfair advantage

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Exercise Performance: L-Carnitine may enhance physical performance over time by reducing muscle fatigue, improving recovery, and increasing oxygen supply to the muscles

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Because GIPR activation is glucose-dependent, this entire cascade engages fully only when blood glucose exceeds approximately 5.6 mmol/L (100 mg/dL), which explains the low hypoglycemia rate observed in SURPASS trials even at the 15 mg dose [6]