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Data availability The data are available from the corresponding author upon reasonable request

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The jittery feeling associated with stimulants can be exacerbated if the patient is also experiencing the fatigue sometimes reported with semaglutide

10.1038/nrm2689

some case reports suggest a possible interaction that may affect anticoagulant activity, and closer INR monitoring may be warranted if use is considered appropriate L-carnitine supplements are not a substitute for a balanced diet or structured physical activity