The real risks come from unregulated products and self dosing without evaluation
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Most studies evaluated oral supplements, not patches, and even the oral supplements showed questionable results, making it extremely unlikely that patches would have any meaningful effects on weight loss in humans
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Nauck MA, Baum F, Seidensticker F, Roder M, Dinesen B, Creutzfeldt W
The citrate in excess of mitochondrial requirements is exported in the cytosol, converted into acetyl-CoA by ATP-citrate lyase (ACLY), and used for protein acetylation and lipogenesis