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acyl-coenzyme A oxidase (Acox1) or peroxisomal biogenesis factor 11 (Pex11)] resulted in impaired peroxisomal -oxidation, increased lipid accumulation and exacerbated hepatocellular damage [35, 36], indicating the indispensable role of peroxisomes in lipid metabolism in the context of NAFLD

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In clinical practice, it is common to see frustrated patients who tried oral or sublingual versions without noticing any changes in body composition, energy levels, or sleep quality

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