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It is not approved for over-the-counter sale due to potential side effects
However, rapid weight loss often comes with unwanted side effects: muscle loss (up to 20-60% of total weight lost) and sagging skin on areas like the arms, neck, or belly
This variation reflects differences in GLP-1 receptor density and downstream signaling efficiency, not medication quality or patient compliance
A cross-sectional study found that outpatients had higher total carnitine levels in serum than acutely hospitalized schizophrenia and BD patients, but there was no significant difference in total and free carnitine levels of patients with schizophrenia or BD
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