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Current GLP-1-based treatments, including exenatide, liraglutide, dulaglutide, semaglutide, and tirzepatide, offer varying pharmacokinetic profiles that allow for once-daily or once-weekly dosing, improving patient adherence

EvexiPEL hormone pellets are small implants placed just under the skin that release consistent levels of hormones over time

However, several factors can compromise carnitine status: caloric restriction (which reduces dietary intake), certain medications, chronic kidney disease, and strict vegetarian or vegan diets

Easier to source, cheaper than Wegovy, and Canadian clinicians prescribe it off-label routinely