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Research indicates that carnitine insufficiency develops under conditions of sustained metabolic stress, including advanced age, obesity, diabetes, and chronic disease states

The medications high effectiveness, however, may come with a tradeoff of more intense side effects, such as nausea, diarrhea, constipation and vomiting

I was supplementing due to nearly 2 decades of a vegetarian diet

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Some users also explore alternating between semaglutide and tirzepatide as a strategy to manage side effects while maintaining efficacy