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In other words, there is an increased endogenous bolus of GLP-1 after meals post MBS but basal GLP-1 levels remain low

Circ Res 2008

AMPK prevents palmitic acid-induced apoptosis and lipid accumulation in cardiomyocytes

The inability to properly utilize L-carnitine and fatty acids creates a vicious, self-perpetuating cycle of oxidative stress and systemic inflammation that wreaks havoc across multiple organ systems