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Three RCTs [13, 33, 34] involving 186 patients provided low certainty evidence (Table 2) that L-carnitine supplementation may induce or no difference in changes in the total cholesterol levels (MD: 11.80, 95%CI: 27.13 to 3.53)
Another meta-analysis of 9 randomized controlled trials (RCTs) with 486 patients who compared the vitamin E group with the control group showed a beneficial effect of vitamin E on the incidence and symptoms of CIPN but also proposed that routine prophylactic use of vitamin E is still not recommended [78]
It slows gastric emptying and affects pancreatic insulin secretion, indirectly impacting how nutrients are exposed to digestive enzymes in the small intestine
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