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It is also often associated with obesity and can lead to symptoms caused by high levels of male hormones (androgens)
Jul 2023;36(4):316-322

In addition, when circulating L-carnitine concentration increases, as in the case of oral supplementation, renal reabsorption of L-carnitine may become saturated, resulting in increased urinary excretion of L-carnitine (5)

The most commonly reported side effect is mild gastrointestinal discomfort, which is difficult to separate from the gastrointestinal effects of semaglutide itself
