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[6] GLP-1 RAs provide another example of the benefits that incremental innovation can bring to patients

But the peptide bonds are slowly breaking down, reducing potency with each passing day above optimal temperature

Liang et al

doi: 10.1016/j.eururo.2021.08.014 99 SchlegelPNSigmanMColluraBDe JongeCJEisenbergMLLambDJet al

Reduces Fatigue Extreme tiredness becomes more prevalent with age, and one study has shown that acetyl L-carnitine supplementation aged 70+ reduced both mental and physical fatigue (15)

If fatigue related to Hashimotos disease limits your activity, starting with low-impact exercise and gradually increasing intensity may be more manageable