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Consider decreasing if: Side effects are intolerable despite management strategies, weight loss is faster than 3 pounds per week consistently (which increases gallstone and muscle loss risk), or you have reached your goal weight and want to find the minimum effective maintenance dose

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Monitoring of L-Carnitine levels may be necessary to ensure therapeutic effectiveness and to adjust dosing as needed

My triglycerides dropped from 180 to 95 over four months

Both naturally produced GLP-1 and medication forms can cross the blood-brain barrier 27

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