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L-Carnitine admin normalizes the redox state of the brain (perhaps by incr the avail of beta-hydroxybutyrate and/or acetyl-L-carnitine to the brain), and it incr the rate of urea synth in the liver, perhaps in part by activation of the glucocorticoid receptor

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It also sits on a deep research base, with work exploring how it cycles between oxidized and reduced forms to manage reactive oxygen species (Forman et al., 2009, Molecular Aspects of Medicine)

In clinical trials, individuals using Wegovy for weight loss experienced an average weight loss of 15%