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[5] GLP-1 receptor agonists, such as liraglutide and semaglutide, may be more effective than metformin alone at metabolic improvements
For cardiovascular health: Swanson Ultra L-Carnitine Fumarate
2025;27 Suppl 2(Suppl 2):66-88
Safety protocols also include education on expected side effects, dose escalation plans to improve tolerability, and referral pathways if in-person care or urgent evaluation becomes necessary
Otherwise, you may want to skip it (or wean down), especially if you struggle with anxiety or adrenal dysfunction
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