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The reliance on fat as a primary energy source in Arctic populations, living in environments with limited access to carbohydrates, resembles the macronutrient profile of a ketogenic diet, though physiological ketosis may be modulated by other dietary and genetic factors, unlike a ketogenic diet, which implies a deliberate dietary regime to induce ketosis

Conversely, carnitine may be helpful in cases of hyperthyroidism [7][70]

T.et al (2019a)

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Some researchers prefer injecting in the morning to align the metabolic effects with daytime activity