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Baseline carnitine status also varies by diet: vegans and strict vegetarians often run lower serum carnitine due to limited dietary sources (red meat, dairy, fish)

Many of the existing studies are based on animal models

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Preclinical studies show reductions in caloric intake and fat accumulation, suggesting its role in experimental research on metabolic regulation, obesity, and neuroendocrine energy homeostasis

Patients who arrive at the intake consultation expecting semaglutide-like weight loss results from tesamorelin are not ideal candidates and need honest redirection before starting the protocol

People living with diabetes should note any new or worsening symptoms they experience