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Each dose increase may temporarily reintroduce mild symptoms as the body adapts to the higher level of GLP-1 receptor activation, but these symptoms generally resolve more quickly than initial side effects

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L-carnitine is an amino acid that helps to transport fatty acids into the mitochondria, where they can be used for energy

Ethics declarations Conflict of Interest All authors have given lectures, received honoraria and research support and participated in conferences, advisory boards and clinical trials sponsored by many pharmaceutical companies

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