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4-6% placebo Diarrhea: 12-17% Vomiting: 5-10% Constipation: 6-11% Decreased appetite: 5-11% GI events are predominantly mild-moderate and occur mainly during dose escalation (first 4-8 weeks), with significant attenuation over time Serious adverse events of interest : Pancreatitis : Adjudicated pancreatitis events occurred at rates of approximately 0.1-0.2% across the SURPASS program, comparable to rates seen with GLP-1 agonists

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Some lipotropic mixtures will also have BCAAs, or the branched-chain amino acids valine, leucine, and isoleucine

doi:10.2165/00044011-199510060-00001 42

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The amino acid carnitine directly impacts them as a facilitator of energy transport in mitochondria