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In some studies, primary lesions of the lip and nasal cavity also are included in the statistics, thereby increasing the incidence

And, side-effects appear similar to other incretin-based treatments including nausea, vomiting, diarrhoea or constipation

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There have been varying reports of urinary free-carnitine excretion with PEM as either increasing [108] or decreasing [109]

doi: 10.1001/jama.2023.24945 Sodhi M, et al