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Although an exact cause is not defined, autoimmunity and genetics may play a role

It's crucial to discuss medical history and potential risks with a health care provider before using these medications, as these drugs are not suitable for people with certain medical conditions, including those with a history of medullary thyroid cancer, type 1 diabetes, pancreatitis, or severe gastrointestinal disease

Protective actions of L-carnitine and acetyl-L-carnitine on the neurotoxicity evoked [PMID: 8736490] Laboratory literature summary: Protective actions of L-carnitine and acetyl-L-carnitine on the neurotoxicity evoked by mitochondrial uncoupling or inhibitors

Drug Discovery Today 30 (4)

During these periods, focus on how you feel and on maintaining your protein and exercise habits rather than what the scale shows