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There is reliable clinical evidence that L-carnitine can be helpful when used alongside appropriate medical therapies for individuals suffering from heart attacks, heart failure, angina and intermittent claudication

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Avoid lying flat immediately after drinking, as this can worsen nausea

If side effects are problematic, your doctor can discuss alternatives, including: Dose adjustment or slower titration Switching to a different GLP-1 receptor agonist Alternative diabetes medications with different mechanisms of action Additional treatments to manage specific symptoms According to NICE guidance on type 2 diabetes management (NG28), treatment decisions should be individualised, balancing efficacy, side effects, patient preferences, and overall quality of life