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Altogether, muscle loss during GLP1RAs therapy is multifactorial, involving reduced protein intake and negative energy balance, hormonal adaptations, impaired mTOR signaling and protein synthesis, increased proteolysis and potential mitochondrial adaptations, and age, frailty, and physical inactivity as modifiers (Fig

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Since sepsis has not definite treatment, if l-carnitine supplementation will be beneficial in the handling of sepsis, it could be a new adjunctive therapy in future