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Its a hormone made naturally by your intestines, especially right after you eat

Birk, S., Martin Bk Blond, Rasmus Michael Sandsdal, Lisa Mller Olsen, Christian Rimer Juhl, Julie Rehn Lundgren, Janus, C., Bente Merete Stallknecht, Jens Juul Holst, Sten Madsbad, & Signe Srensen Torekov

Thus, we hypothesized that the elevated non-12-OH FXR-antagonistic BA levels contribute to the glucose-lowering effect of T3 through the regulation of GLP-1 and insulin production via inhibiting intestinal FXR signaling

In a systematic review and meta-analysis that included five studies, it was found that L-carnitine is a useful remedy to treat patients with insulin resistance (Xu et al