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This combination keeps your digestive system functioning smoothly and prevents the rebound hunger some patients experience when they focus only on restriction rather than nutrient density

This appears to be a database with a commercial purpose, but I cannot identify what that purpose might be based on their web site

Maintain adequate fluid intake and contact your GP if you cannot keep fluids down or experience signs of dehydration

Perhaps a persistently high fatty acid burden on muscle mitochondria eventually exhausts the tissues free carnitine pool, in a failed attempt to detoxify the accumulating lipid metabolites