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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

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Weight loss typically begins within the first few weeks of treatment but follows a gradual trajectory rather than rapid drops

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