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About this article Cite this article Ikushima, I., Jensen, L., Flint, A

With this degree of weight loss in only 48 weeks, we see people having improvement or resolution in other conditions like hypertension, hyperlipidemia, osteoarthritis, sleep apnea, and more weight-related conditions, Billings said

In some cases, a doctor or experienced nutritionist may recommend L-carnitine supplementation