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In short, regarding the patches, Theres no solid science to back them up

Clin Transl Allergy

McClean PL, Gault VA, Harriott P, Hlscher C

In these STEP trials, most participants experienced mild to moderate symptoms, with the incidence of severe side effects being 9.8% in the semaglutide treatment group and 6.4% in the placebo group

Najafi, S., Bahrami, M., Butler, A

Eating breakfast or lunch (containing carbohydrate) when consuming carnitine would have stimulated insulin and helped elevate muscle carnitine, and researchers observed that carnitine users had 41-45% better muscle recovery from high intensity squat exercises