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While not approved for prediabetes, GLP-1 receptor agonists may be considered in individuals at high risk of developing type 2 diabetes, especially if lifestyle interventions are insufficient

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10.4 Alcohol and Its Impact on Glycemic Control Alcohol consumption may exacerbate glycemic fluctuations

M., Samborska, B., Mainolfi, N., Suri, V., Guak, H., Balmer, M

L-carnitine deficiency severely impairs the mitochondrial import of long-chain acyl-CoAs, directly limiting the acetyl-CoA pool required for ketogenesis ( -oxidation activity (25, 26)