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L-carnitine injections enhance fat metabolization by shuttling fat to the fat furnace in our cells called mitochondriaand unless fat makes it to the mitochondria, it cant be burned, no matter how much you exercise or diet

The injection is typically given in a muscle, most commonly in the upper arm, thigh, or buttock

371 In osteoblasts, the administration of GLP-1 and GIP incretins suppressed the excessive expression of the pro-degradative enzymes MMP-3 and MMP-13 induced by IL-1 stimulation

D'Gama and Walsh, 2018

Some users report continued improvement even after discontinuation, suggesting lasting tissue repair rather than just symptomatic suppression