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Possible symptoms and signs may include: Persistent fatigue or low energy Muscle weakness or muscle pain Exercise intolerance Low blood sugar, especially during fasting Enlarged liver or abnormal liver function tests Heart rhythm problems or weakening of the heart muscle in severe cases These symptoms are not specific to carnitine deficiency and can occur in many other conditions

U., Russo, P

Efficacy of once-weekly tirzepatide versus once-daily insulin degludec on glycaemic control measured by continuous glucose monitoring in adults with type 2 diabetes (SURPASS-3 CGM): a substudy of the randomised, open-label, parallel-group, phase 3 SURPASS-3 trial

The World Anti-Doping Agency says BPC-157 poses a risk to athlete health because it has not been studied extensively in humans