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For weight loss specifically, the injectable forms (Wegovy and Zepbound) are approved for weight management and use the doses studied in the largest weight-loss trials
10.1001/jama.2016.16477 4
It is also sensible to speak with a doctor before starting l carnitine in the setting of chronic kidney disease, dialysis, pregnancy, breastfeeding, or multiple medications
PLoS ONE 10 , e0121414 (2015)
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