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Refractory celiac disease (RCD): a diagnosis of refractory celiac disease (RCD) requires the persistence of symptoms in spite of a gluten-free diet for 12 months or longer, and implies the exclusion of other causes of villous atrophy

Its role is to regulate key anabolic (growth) functions: Regulating reproductive functions Boosting resting metabolic rate Promoting muscle mass and strength Increasing bone density and strength Stimulating growth and maturation of bones Promoting growth of body hair and facial hair Encouraging sexual arousal and libido Regulating mood by modulating GABA receptors Symptoms of low testosterone activity in the body may include fatigue, low mood, apathy, and loss of strength

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The first three groups were administered a diet comprising 6% fat, with l-carnitine concentrations of 0, 0.5, and 1 g/kg diet was designated as F6Car0, F6Car0.5, and F6Car1, respectively