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Case reports and observational commentary suggest monitoring may be reasonable in long-duration therapy, particularly when intake is reduced

Many users take it 3060 minutes before exercise to align peak carnitine availability with periods of increased fat oxidation demand during training

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Another factor to consider is long-term benefits with weight-loss or possible disease improvement would require continued use of GLP-1 agonist in addition to other IBD treatment options, which can be an additional financial or emotional burden on patients that would need further exploring as well.

Rapid weight loss and altered bile composition during treatment may increase the likelihood of gallstones or cholecystitis

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