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L-Carnitine Fumarate is generally recognized as safe and well-tolerated, but there are important safety dynamics to consider, particularly regarding the gut microbiome
The medication works by mimicking the action of naturally occurring GLP-1, a hormone released from the intestine in response to food intake
If your ALT or AST levels change significantly, your prescribing provider should evaluate the context, considering whether you have baseline liver disease, how rapidly you are losing weight (rapid fat loss can temporarily increase liver enzyme release), and whether any concomitant medications could be contributing
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