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I take it once a week and I cannot beleive how fast I am losing weight

Al-Mossawi, A.-E.-B

Missing doses or inconsistent administration can reduce the medication's effectiveness and may increase the likelihood of side effects when you resume treatment

JAMA Neurol 76(4):420429 Brown JC, Dryburgh JR (1971) A gastric inhibitory polypeptide II: the complete amino acid sequence

Gastrointestinal Discomfort Some users may experience mild gastrointestinal symptoms, such as nausea, vomiting, or diarrhea, particularly when taking high doses of L-Carnitine

Those ranges were previously only reliably achievable with bariatric surgery