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In SURMOUNT-1, the most common treatment-emergent adverse events were gastrointestinal: nausea (24.6-33.3% across doses vs 9.5% placebo), diarrhea (18.7-21.2%), vomiting (5.7-12.2%), and constipation (5.8-11.5%)

Miller NR, Arnold AC

However, the lifestyle intervention guidelines, dating back to 20072008, do not address the need to precisely measure dose, frequency, and type of physical activity or diet and do not suggest ways (e.g., cardiopulmonary exercise testing) other than self-report to monitor intervention compliance or fidelity

In fact, L-carnitine plays a vital role in energy production for muscle cells and may be helpful for treating a wide variety of conditions