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These medications work by mimicking the incretin hormone GLP-1, enhancing glucose-dependent insulin secretion, suppressing glucagon release, slowing gastric emptying, and reducing appetite through central nervous system pathways

L-carnitine is generally safe for dogs and can offer numerous benefits

to reduce the risk of sustained eGFR decline, end-stage kidney disease, and cardiovascular death in adults with type 2 diabetes mellitus and chronic kidney disease

therefore, we recommend starting administration 3 weeks before the first flight exceeding 400 km and continuing throughout the rest of the racing season

Although a number of domains presented concerns that should be taken into account when interpreting the pooled results, the included studies generally showed moderate to good methodological rigor