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A 2024 case series published in the Journal of Clinical Endocrinology reported that patients receiving combination therapy of semaglutide with L-carnitine showed 18% greater fat mass reduction compared to GLP-1 monotherapy, with improved energy scores on validated fatigue assessments
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Most absorption problems aren't treatable but a few are - notably h pylori infection - which would mean that once that has been dealt with you would be able to absorb B12 from your diet so wouldn't need maintenance shots for life
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