its a biological adjustment
Whether you can access GLP-1s through this model depends entirely on whether your state chooses to participate
Back Karamanou, M, Protogerous, A, Tsoucalas, G, et al (10 Jan 2016) 'Milestones in the history of diabetes mellitus: The main contributors', World Journal Diabetes , 7/1, 1-7
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Examination of individual plots of plasma d 3 -TMAO production from oral d 3 -l-carnitine challenges among vegans/vegetarians ( n = 7) demonstrated that the mean increase observed was driven by only a subset ( n = 3) of subjects, with over half ( n = 4) of the vegans/vegetarians demonstrating essentially no metabolic capacity to convert oral d 3 -l-carnitine into d 3 -TMAO even after months of l-carnitine supplementation (Supplemental Figure 3)