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Trimethyllysine undergoes four enzymatic reactions in the course of endogenous L-carnitine biosynthesis (Figure 1)
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If your primary goal is not weight loss: GLP-1 medications show promise beyond weight management
Consider specialist referral to endocrinology for patients with advanced chronic kidney disease, prior pancreatitis, severe gastrointestinal disease or gastroparesis, refractory adverse effects, complex medication regimens, or diagnostic uncertainty
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