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This may be due to carnitine's ability to keep blood glucose levels low even following a large carbohydrate meal

Recent conceptual frameworks propose that metabolic stress and impaired incretin signaling may amplify interleukin (IL) 23/17driven immune responses at the enthesis and synovium, thereby facilitating the transition from PsO to psoriatic arthritis (PsA) in genetically or immunologically predisposed individuals (9)

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The evidence base is thin compared to pharmaceutical options