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Conflict of interest The authors have no conflicts of interest to declare Funding CF thanks the BBSRC (UK) for financial support (BB/T008865/1)

Acetyl-L-carnitine (ALCAR) to enhance nerve regeneration in carpal tunnel syndrome: study protocol for a randomized, placebo-controlled trial

BuChE, butyrylcholinesterase

Historically, anti-obesity drugs have shown a lot of negative side effects and only moderate efficacy

Before starting Establish baseline ALT, AST, and GGT levels 4-8 weeks Check for early changes Every 3 months Monitor ongoing response during weight loss Maintenance Test every 6 months If you have pre-existing fatty liver or insulin resistance, more frequent testing helps track improvement