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However, these tend to be dose dependent, self limiting, and transient once your body acclimates

They are engineered to bind to the same receptors as natural GLP-1 and resit breakdown by DPP-4 allowing them to remain active for much longer, hours to weeks longer

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If you use 0.5mg per week, that vial lasts 20 weeks

Without adequate carnitine availability, this shuttle becomes a bottleneck