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When caloric intake is decreased, carnitine intake is also reduced, so the ability to oxidize fatty acids may be impaired as a result of low L-carnitine levels

However, Doustdar noted approximately 1.5 million patients currently use oral Rybelsus (semaglutide for diabetes) with identical fasting requirements, and we have not seen this being an issue. He also highlighted restrictions in orforgliprons clinical trial protocol requiring patients taking statins (commonly used by people with obesity) to wait 2-4 hours before dosing

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Healthy fats: olive oil, avocado, nuts, seeds