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L-carnitine is given to patients receiving dialysis for kidney failure and is considered very safe.L-carnitine (LC) administration has been recommended for specific indications in dialysis patients, including epoetin-resistant anemia, intradialytic hypotension, cardiomyopathy, fatigue, muscle weakness, and exercise performance

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Eighty-six percent achieved at least 5% weight loss

These findings are preliminary and highlight the need for larger, randomized controlled trials specifically designed to isolate the mood effects of GLP-1 medications from the psychological benefits of weight loss

This occurs in kidney, liver and brain [5]

In many cases, the more likely explanation is the weight loss process: a prolonged caloric deficit, nutritional gaps, hormonal shifts, or stress