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doi:10.1016/j.dmpk.2016.08.005 Nalecz KA, Miecz D, Berezowski V, Cecchelli R (2004) Carnitine: transport and physiological functions in the brain

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If you are currently managing GERD with medication, do not reduce or stop your acid-suppressing regimen when starting semaglutide

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These include activation of GLP-1 receptors on vagal afferent neurons in the gastrointestinal tract, which transmit signals to the brainstem, and potential action at circumventricular organsspecialized brain regions with a more permeable blood-brain barrier

Combining them does not necessarily create synergistic fat loss