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Use 2 servings daily, preferably 30 minutes before a meal or workout

conducted prospective and retrospective observational studies on the efficacy of the combination of duloxetine (DLX) and pregabalin (PGB) for the treatment of FM syndrome, and the possibility of additional benefits with the addition of the lipid signaling molecule palmitoylethanolamide (PEA) [59]

Given that chronic hepatitis and cirrhosis are major risk factors for HCC, the anti-inflammatory and anti-fibrotic effects of L-carnitine could theoretically contribute to reduced HCC risk in patients with advanced MASLD, but this hypothesis awaits clinical validation