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A 2025 survey of endocrinologists and obesity medicine specialists revealed that 34% now regularly recommend nutritional supplements to enhance GLP-1 therapy outcomes, with L-carnitine among the most commonly suggested agents

Note that hexarelin nasal spray has been estimated to result in 5% bioavailability compared to 77% with subcutaneous injections, so nasal administration would require much higher dosing [12]

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Scientific Research (1) Jozefczak M, Remans T, Vangronsveld J, Cuypers A

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