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OTC GLP-1 alternatives lack comparable clinical data, with most studies on individual ingredients showing modest effects in isolation, not in combination formulations

Li X, Wang Y, Liu W, Mai K, Xu W, Zhang Y, Ai Q (2022) Dietary L-carnitine regulates liver lipid metabolism via simultaneously activating fatty acid oxidation and suppressing endoplasmic reticulum stress in large yellow croaker (Larimichthys crocea) fed with high-fat diets

It is also believed to contribute to better physical performance by enhancing oxygen delivery to muscles, reducing muscle fatigue, improving muscle strength and endurance, and speeding up muscle recovery after workouts

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