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Rare but more serious side effects include pancreatitis and hypoglycaemia when combined with insulin or sulfonylureas
Autophagy 17(10):31963220
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I havent had many side effects, except for occasional mild headaches, but overall, Im happy with the results." Source: Reddit - r/Peptides 2
In our study, we demonstrated that perceived hunger scores were significantly increased during the modified fasting period, while intravenously administered high-dose L-carnitine weakened the sensation of hunger during this period
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