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Adipocytes, which undergo hypertrophy, hyperplasia, and chronic macrophage infiltration during the progression of obesity express more CYP19 transcripts, leading to higher levels of aromatase [149], likely contributing to the greater expression of E2 from conversion of testosterone

Chinese guideline for lipid management (primary care version 2024)

Beneficial effects of L-carnitine supplementation for weight management in overweight and obese adults: An updated systematic review and dose-response meta-analysis of randomized controlled trials

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Chen C, Garzon R, Gutierrez M, Jacoby M, Brown P, Flinn I, Stone R, Savoie L, Baz R, Gabrail N, Wang M, Martin P, Seigel D, Mau-Sorensen M, Andreeff M , Marshall T, Saint-Martin JR, Carlson R, Shacham S, Kauffman M, Kuruvilla J