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Oral supplementation is not as effective as intravenous administration because the supplements go through the digestive system, reducing their bioavailability
During an LPS-induced APR in dairy cows, dietary L-carnitine supplementation led to increased plasma carnitine concentrations and was shown to have no significant effect on the progression of clinical signs, except for reduced rumen motility, but resulted in higher insulin concentrations and lower NEFA levels, indicating an effect on lipid metabolism (12)
(Theres no requirement for contraception with semaglutide, and such requirements for drugs are rare in general.) Like Klein, she also gets patients even those with diabetes off semaglutide before and during pregnancy
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