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Cardiac medications: If dilated cardiomyopathy is confirmed, the vet will likely prescribe additional cardiac medications alongside carnitine supplementation

Your body's adaptation happens through downregulation of GLP-1 and GIP receptors, a natural process that accelerates when you maintain consistent dosing over 48 weeks

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GLP-1-based therapies slow gastric emptying, which may affect absorption timing of oral supplements including NAD+ precursors

While these side effects are usually mild and temporary, it is important to monitor them and report any persistent or severe symptoms to your doctor