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Alternatively, continue daily injection at a reduced dose of 0.5 to 1mg

[1] [7] Other notable effects include injection site reactions beyond pain (erythema, pruritus, induration in 13% of patients), increased heart rate (particularly with liraglutide), gallbladder disease (including gallstones and cholecystitis), and potential dehydration-related acute kidney injury

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Overall, while L-carnitine may potentially contribute to weight loss efforts, its role as a standalone weight loss solution remains uncertain, and more research is needed to be more certain in understanding its effects in this context