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This compound plays a pivotal role in energy production, serving as an indispensable cofactor that facilitates the transport of long-chain fatty acids into mitochondria for oxidation, leading to adenosine triphosphate (ATP) energy generation [20,21]

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The EHR cohort was younger and had a larger proportion of men than the survey cohort (median age 44 years versus 52 years, and 37% male versus 18%), and both of these factors may contribute to some of the apparent difference in weight loss efficacy between self-report and EHR data