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The precautions that do apply come from the copper
Monosodium Glutamate Exposure and Liver Damage: Modulatory Effects of L-Carnitine on [PMID: 41429425] Laboratory literature summary: Monosodium Glutamate Exposure and Liver Damage: Modulatory Effects of L-Carnitine on Inflammation and Autophagy
Further, clinical trials show that long-acting GLP-1 medicines decrease cardiovascular events in individuals with T2D or obesity
Most evidence comes from animal models or small trials
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