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Some patients find that a second or third round, combined with behavioral coaching, produces better habit formation and faster weight loss than the first cycle

Some studies suggest that supplementing with L-Carnitine improves cardiovascular function, reduces the risk of heart disease, and lowers cholesterol levels

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A Monte Carlo simulation with 1,000 iterations was implemented, drawing inputs from predefined probability distributions consistent with recommended practice, namely Gamma for costs, Beta for probabilities and utilities, and Normal or Lognormal for relative risks and treatment effects (72)

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Requires careful cardiac monitoring during initial months