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By day five, roughly half the drug has been eliminated

Use electrolyte powders or sugar-free sports drinks

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Although gut dysbiosis has yet to be causally linked to obesity in humans, accumulating evidence demonstrate distinct taxonomic shifts in gut microbial communities of obese individuals compared to lean subjects 5,6,7,8

Spiekerkoetter U, Huener G, Baykal T, Demirkol M, Duran M, Wanders R, Nezu J, Mayatepek E: Silent and symptomatic primary carnitine deficiency within the same family due to identical mutations in the organic cation/carnitine transporter OCTN2