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However, because phentermine is a stimulant, it may raise blood sugar through stress hormones

Ann Rev Microbiol 57(1):395418

Without L-Carnitine, its difficult for fats to be burned as fuel, so our body resorts to other sources of energy like muscle protein and sugar (glycogen)

Brosens I, Brosens JJ, Benagiano G (2012) The eutopic endometrium in endometriosis: are the changes of clinical significance

This analysis only focused on switching patterns and did not look into patients who discontinued their GLP-1 RA in association with this change

In some patients, they may also signal nutritional deficiency, worsening of an underlying condition, or the need for medical intervention