Understanding the underlying problem changes the answer
It will go to the player who can deliver the most scalable, durable, and clinically expansive solution in this high-stakes metabolic revolution
The involvement of OCTN1 in cancer metabolism, is probably unrelated to the poor ability of this transporter to mediate carnitine transport, however, it is interesting to know that OCTN1 is involved in the uptake of anti-cancer drugs (Table 1) such as Cytarabine (Drenberg et al., 2017), Camptothecin (Zheng et al., 2016), mitoxantrone and doxorubicin (Okabe et al., 2008)
Whey (made from milk) naturally contains some L-Carnitine, and plant-based sources contain it in small amounts, like nuts, seeds, whole grains and some fruits and vegetables (like avocados and asparagus)
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GIP receptor agonism further augments insulin release and may influence fat metabolism, though the precise contribution of GIP receptor activation to clinical outcomes in humans remains an area of active investigation