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Healthy individuals including vegetarians do not usually suffer from a deficiency because the body can synthesize L-carnitine itself from amino acid-rich products

It is prevalent in 3545% of patients with obesity and MASLD due to shared metabolic alterations and comorbidities

The AGEs within the ovary alter glucose metabolism and the folliculogenesis, the AGE could be responsible for the reduction of glucose uptake by granulosa cells, with consequent alteration of follicular growth [66]

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Therefore, iron status is best assessed in all RLS patients by testing ferritin and transferrin saturation (a measure of how much iron carrying capacity is occupied)