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Injection site reactions that go beyond normal mild redness, particularly large welts, persistent pain, or signs of infection, require medical attention

Acta Neuropsychiatr 34:318329 Altamimi TR, Thomas PD, Darwesh AM, Fillmore N, Mahmoud MU, Zhang L, Gupta A, Al Batran R, Seubert JM, Lopaschuk GD (2018) Cytosolic carnitine acetyltransferase as a source of cytosolic acetyl-COA: a possible mechanism for regulation of cardiac energy metabolism

It was originally developed for epilepsy treatment in the 1920s and puts the body into ketosis to burn fat, but its effectiveness and safety for weight loss and other claimed benefits lack long-term research

(2011) 162:6206.e1