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Week 1-2 Improved sleep quality, increased energy, possible water retention and joint stiffness Week 2-4 Enhanced exercise recovery, skin improvement, possible carpal tunnel symptoms Month 1-2 Noticeable fat loss (especially abdominal), improved skin elasticity and texture Month 2-3 Continued fat loss, lean mass improvements, hair/nail growth, reduced recovery time Month 3-6 Significant body composition changes, improved bone density, sustained energy/well-being Week 0-0 Maintained benefits

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These effects were similar to those previously observed in MD-induced low-carnitine tilapia, zebrafish and rodents ( Reference Li, Li and Qin 32 , Reference Pan, Li and Li 34 , Reference Degrace, Demizieux and Gresti 52 ) , and indicate abnormal lipid metabolism as part of a metabolic syndrome