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PubMed [4] Wall BT, Stephens FB, Constantin-Teodosiu D, Marimuthu K, Macdonald IA, Greenhaff PL Chronic oral ingestion of L-carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans

The article says a provider may recommend restarting at a lower dose, switching to an alternative agent, or extending behavioral support indefinitely

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Today, the high prices and periodic shortages often observed with GLP-1R agonists limit equitable access, underscoring the importance of policy action, stable manufacturing, and fair distribution