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[PubMed: 9633977] 69

the gut microbiota is now considered an endocrine organ that communicates with the body through the gut-systemic axis and is extensively modifiable by foods 4,5,6

We grouped the included trials into four subgroups based on the type of comparison to provide comparator-specific synthesis and subgroup analysis

In this study, we found that L-carnitine did not change the mean levels of liver enzymes, including ALT and AST, but prevented the excessive increase in ALP levels