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It is also worth discussing your treatment if you have recently been diagnosed with a new medical condition, started a new medication, or experienced significant life changes such as surgery or major illness, as these can all affect how your body responds to treatment

[1] [13] Deficiency [edit] Carnitine deficiency is rare in healthy people without metabolic disorders, indicating that most people have normal, adequate levels of carnitine normally produced through fatty acid metabolism

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Notably, in the placebo group, greater early weight loss was paradoxically associated with higher subsequent MACE risk, likely reflecting unintentional weight loss or underlying illness