l carnitine injection cycle biosynthesis governs fuel switching Simplified overview of acetyl-l-carnitine (ALCAR)

10.1186/s12891-019-2519-y 167 TsengC.WongM

50 (D1), D622D631 (2022)

Shi SY, Lu SY, Sivasubramaniyam T, Revelo XS, Cai EP, Luk CT, Schroer SA, Patel P, Kim RH, Bombardier E, Quadrilatero J, Tupling AR, Mak TW, Winer DA, Woo M (2015) DJ-1 links muscle ROS production with metabolic reprogramming and systemic energy homeostasis in mice

Important Caveats: This observation is anecdotal, not registry-derived It is not a substitute for controlled epidemiology It provides real-world context consistent with MTC rarity and absence of compelling causal signals in highest-quality human evidence Clinical Significance: In a practice seeing more thyroid cancer than anywhere globally, we are not observing an MTC wave in GLP-1 users

Invest Ophthalmol Vis Sci 57(14):64196426 Morales P et al