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These results suggested that leptin resistance can be overcome with high doses of leptin but resulting in only modest weight loss similar to currently approved medications

Drugmakers Novo Nordisk and Eli Lilly said their own tests have found impurities and inaccurate strengths of inactive ingredients in some compounded versions of these medications

Javid-Naderi MJ, Mahmoudi A, Kesharwani P, Jamialahmadi T, Sahebkar A

L-Carnitine (C7H15NO3, mass 161.20 g/mol, CAS 541-15-1) is an endogenous quaternary amino acid necessary for the transport of long-chain fatty acids to the mitochondrial matrix via the carnitine cycle

This can feel puzzling since the drug is designed to assist with weight loss

It's the point where activity drops below reliable therapeutic thresholds