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2019a, b) Systemic sclerosis Systemic sclerosis (SSc) is a complex chronic autoimmune disease characterized by inflammation, vascular injury and fibrosis that synchronously affect virtually every organ system

Another study reported that creatine kinase-MB levels were lower in the L-carnitine group compared to the control group at both 12- and 24-h post-treatment

Decreases in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), liver fat, and serum alanine aminotransferase have also been reported [103]