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Four groups of 20 participants each were formed: the first received an oral L-carnitine supplement, the second applied a topical lotion containing L-carnitine, the third combined both supplement and lotion, and the fourth served as an untreated control group

These options for medical weight loss can be controversial because the brand-name drugs are often expensive when paid out-of-pocket (since many health insurance plans do not cover them)

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Intervention: Any GLP-1 receptor agonist, including liraglutide, semaglutide, dulaglutide, exenatide, or lixisenatide