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Sloan et al 309 provided oral L-carnitine (1 g before and 1 g after each dialysis treatment) to 101 maintenance hemodialysis patients and evaluated their health-related quality of life with the SF-36
Although I do not routinely measure longitudinal change in body composition or bone mass in people taking GLP-1s, mostly because of the cost of DXA scans, significant muscle or bone loss are two objective manifestations of excessive weight loss that should lead to stopping or slowing treatment
Beyond specific foods, broader lifestyle patterns may influence GLP-1 secretion and function
And in that way, we can start to change the tide of things
Why these changes happen to the brain and spinal cord is also not clear, although there are factors that seem to be common in many cases
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