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Track energy levels, as some patients report fatigue during initial treatment or dose escalation
Pharmacological activation of the GLP-1 Receptor has also shown to help exogenous insulin in the control of glycaemia in patients with type 1 diabetes, by slowing the gastric emptying and blocking glucagon secretion (183, 184)
Insurance coverage is limited, a legacy of obesity being treated as an aesthetic issue, and without it, patients out-of-pocket costs can range above $1,000 monthly
Conducting three-arm trials that include a placebo group (e.g., distilled water), an L-carnitine group, and a group receiving an equivalent nitrogen dose to the L-carnitine supplement is also suggested