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Many patients experience mild nausea early and never develop true appetite reduction, while others feel strong appetite suppression with no nausea

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A questo proposito alcune ricerche suggeriscono che i batteri intestinali potrebbero metabolizzare la carnitina non assorbita per formare TMAO e gamma-butirrobetaina, sostanze associate a un possibile aumento del rischio di malattie cardiovascolari

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