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Commonly reported side effects include: Nausea, vomiting, and diarrhoea particularly during dose escalation Constipation and abdominal discomfort Decreased appetite and early satiety Injection site reactions (mild and transient) Fatigue, especially in the initial weeks of treatment These gastrointestinal effects are consistent with the GLP-1 mechanism and are generally dose-dependent and transient

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Regular use of L-carnitine supplements has been associated with improved exercise endurance, reduced muscle soreness, and enhanced recovery

Zepbound: nausea, diarrhea, vomiting, constipation, abdominal pain, upset stomach, injection site reactions, fatigue, hypersensitivity reactions, belching, hair loss, gastroesophageal reflux disease (GERD)

Cons: The dispensing pharmacy is not named publicly