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[ref] Carnitine: The study on mice showing that carnitine transport is essential for GLP-1 RA effectiveness indicates that low carnitine levels may impair weight loss.[ref] More studies are needed, but it may be that adding supplemental carnitine could help, especially if you have genetic variants related to lower carnitine levels

doi:10.3390/biology14050575

For many people, that means less food noise, fewer large swings in hunger, and a more sustainable platform for long-term behavior change

10.1016/j.pbb.2017.07.014 66 ThomsenM.HolstJ

The key is consistency

GLP-1 is synthesized and secreted by specialized enteroendocrine cells in the small intestine, primarily the L-cells located in the ileum and colon