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The improvement in insulin metabolism parameters is associated with L-carnitine potentially modulating the expression of glycolytic and gluconeogenic enzymes involved in mitochondrial glucose oxidation and facilitating the transport of free fatty acids or their action as acetyl group donors in high-energy metabolism situations

Based on these comprehensive research findings, we speculate that the regulation of the T1D immune system and inflammatory pathways may be closely linked to butyrate, a key metabolite produced by Clostridium

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