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Pooyandjoo, M., Nouhi, M., Shab-Bidar, S., et al., The effect of (L-)carnitine on weight loss in adults: a systematic review and meta-analysis of randomized controlled trials, Obes

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This mechanism is fundamentally different from stimulation-based lipolysis (which releases triglycerides without disrupting the cell itself): PPC produces actual reduction in adipocyte count in treated areas, making results more durable than approaches that only activate existing fat release mechanisms