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In rare cases, it caused [30, 12, 54, 18, 91]: Upset stomach Vomiting Diarrhea Headache Insomnia Our bodies partly metabolize carnitine into trimethylamine-N-oxide (TMAO), which may promote plaque build-up in blood vessels (atherosclerosis)

However, smaller clinical reports and retrospective analyses show that men on both therapies often achieve greater reductions in body fat percentage compared to either drug alone, while preserving lean muscle mass better than semaglutide monotherapy would alone

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For instance, people with chronic illnesses or those who take medications affecting liver function should talk to healthcare providers about their diet