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Blonde L, Berard L, Saremi A, Huang Y, Aroda VR, Raccah D

The extra buffer protects against the compounding of side effects that comes from overlapping doses

[ref] Carnitine: The study on mice showing that carnitine transport is essential for GLP-1 RA effectiveness indicates that low carnitine levels may impair weight loss.[ref] More studies are needed, but it may be that adding supplemental carnitine could help, especially if you have genetic variants related to lower carnitine levels

Side effects may be more prominent during treatment initiation or dose escalation