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The full benefits of the medication may be observed after 6-12 months of consistent use

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JAMA 313 , 2263 (2015)

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The Effects of 13 Wk of Liraglutide Treatment on Endocrine and Exocrine Pancreas in Male and Female ZDF Rats: A Quantitative and Qualitative Analysis Revealing No Evidence of Drug-Induced Pancreatitis

Carnitine helps to transport essential nutrients to muscle cells, so lower levels could have a direct effect of energy