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Some clinicians suggest intermittent or reduced-dose GLP-1 therapy as a maintenance strategy, though this approach remains investigational and lacks robust evidence

But you should reach out to your prescribing physician if you experience any of the following: Symptoms that are severe or worsening after two weeks at the same dose Signs of dehydration such as dark urine, dizziness, dry mouth, or rapid heart rate Blood in your stool or severe abdominal cramping Inability to keep food or fluids down Fever accompanying your symptoms Your provider can slow your dose escalation schedule, temporarily reduce your dose, or recommend supportive medications

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However, if you are vegetarian or vegan, this source of L-carnitine is eliminated and taking L-carnitine capsules can be useful especially if you exercise and want to boost fat metabolism

Shorakae S, Teede H, De Courten B, Lambert G, Boyle J, Moran LJ

He goes this severe depression just lifted for first time in a month within minutes