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The specific agents accepted as step-therapy options may vary by plan

What the Evidence Says The question of whether L-carnitine pills are effective for weight loss has attracted considerable research interest, though the overall evidence base remains modest and mixed

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It may also increase the risk of pancreatitis and is not safe for people with gallbladder problems, kidney disease, or diabetic retinopathy

J Neurosci Res 80:655666 Woehrling EK, Hill EJ, Coleman MD (2007) Development of a neurotoxicity test-system, using human post-mitotic, astrocytic and neuronal cell lines in co-culture