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That means formulations vary between clinics and pharmacies there's no single universal recipe
Here is what that means practically
You want to do this under medical supervision, says Shafer
Some patients experience nausea, vomiting, or other gastrointestinal symptoms that lead them to reduce food intake of nutrient-dense foods while increasing simple carbohydrates for symptom management, potentially negating metabolic benefits
Carnitine supplementation may be particularly useful to help in these cases where Carnitine levels are already low
The medication will be delivered subcutaneously
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