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(Studies have shown that everyone with an autoimmune disorder, including Hashimotos, has some degree of intestinal permeability

Alternative GLP-1 formulations, dose adjustments, or switching to different weight loss medications may be appropriate

A true allergic reaction is extremely rare

The most commonly reported adverse events are gastrointestinal reactions, including nausea, vomiting, diarrhea, and constipation, which typically occur during the early phase of treatment and tend to diminish or resolve with continued therapy (55, 56)

For instance, with acetyl-L-carnitine, the acetyl group adds the benefit of increasing acetylcholine in the brain for added focus and memory (11)