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however, it is important to note that the study included only 10 patients, among whom six received L-carnitine supplementation during a 5-week trial [55]

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Future research should employ pragmatic and innovative strategies: first, leveraging real-world data through nested case-control studies linking dietary supplement usage with cancer registries to generate preliminary epidemiological insights into the association between long-term L-carnitine use and HCC incidence in MASLD populations

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