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[DOI] [PMC free article] [PubMed] [Google Scholar] Krhenbhl S, Reichen J (1997) Carnitine metabolism in patients with chronic liver disease

However, a Cochrane systematic review and meta analysis of the 13 published studies of silymarin in ALD and other liver diseases determined that the overall methodological quality of the studies was low

However, these results roughly align with Lilly's Zepbound and fall short of its next-generation treatment, retatrutide, which showed up to 24% weight loss in mid-stage trials