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In a study that compared the outcomes in hospitalized Chinese patients with COVID-19 and diabetes mellitus (mean age 64 years, 53% men) between 104 patients receiving metformin and 179 patients not receiving metformin, in-hospital mortality was significantly lower in the those receiving metformin (2.9% versus 12.3%

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That does not mean keto is useless, but it does mean the old keto internet is gone, and people are asking different questions now

OCTN2 (novel organic cation 2, SLC22A5), is the primary transporter responsible for high-affinity uptake of carnitine and is highly expressed in tissues with high rates of fatty acid metabolism such as heart, skeletal muscle and brain 3,4