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Common signs of an acetyl-L-carnitine allergy include: Skin reactions such as hives, rash, or itching Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing Nausea, vomiting, or abdominal pain Dizziness or lightheadedness Severe allergic reactions, known as anaphylaxis, require immediate medical attention

Cigna prior authorization for weight-loss drugs Cigna typically requires prior authorization for all types of weight loss drugs, including GLP-1 agonists, says Moore