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CAR received a daily supplement of 125 g per cow of a rumen-protected L-carnitine product (Carneon 20 Rumin-Pro, Kaesler Nutrition GmbH, Cuxhaven, Germany) with the concentrate feed, resulting in 25 g of L-carnitine per cow and day, while CON received a supplement to equalize the fat content (BergaFat F-100 HP, Berg + Schmidt GmbH & Co

increasing dose over time as your body adjusts), side effects generally start off mild and get worse in the short-term as the dose increases

Severe abdominal pain in patients taking semaglutide may reflect biliary disease rather than pancreatitis and requires prompt medical evaluation

nationaleatingdisorders.org ANAD (2026)

Older adults may require closer monitoring