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The practical options include extending the titration schedule (e.g., spending 8 weeks instead of 4 at each semaglutide dose level), reducing to the last tolerated dose, or temporarily holding the drug for 1-2 weeks while aggressive electrolyte repletion occurs

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However, other research suggests L-carnitine provides no benefits

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"Diabetes and Polycystic Ovary Syndrome (PCOS)"

Your health is worth that careful, personalised approach.