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If you have medical reasons why you cant take step therapy medications (allergies, contraindications, previous adverse reactions), document these as reasons for step therapy exception

L-Carnitine supports the energy supply to surrounding muscle tissue, which matters for recovery and sustained mobility under load

And we just dont know. A Catch-22 The drugs makers are also following the Ozempic babies phenomenon

However, current research isn't clear enough for experts to make any firm recommendations

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It's an accurate description of the mechanism as studied