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10.1152/ajpheart.00936.2012 77

Finally, citramalyl-CoA lyase (encoded by the CLYBL gene, also known as citrate lyase subunit beta-like ) converts citramlyl-CoA to acetyl-CoA and pyruvate.

Effect of subcutaneous tirzepatide vs placebo added to titrated insulin glargine on glycemic control in patients with type 2 diabetes: The SURPASS-5 randomized clinical trial

They are also controlled substances (illegal without a prescription)
