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Thirst may indicate hyperglycaemia requiring blood glucose monitoring and possible treatment adjustment

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Constipation management Constipation responds well to proactive management: Increase water intake to at least 2.5 to 3 liters daily Add fiber gradually through diet or supplementation (psyllium husk works well) Maintain physical activity as movement stimulates gut motility Consider magnesium supplementation (magnesium citrate or oxide), which has natural laxative properties Avoid foods that worsen constipation such as processed foods, excessive dairy, and refined carbohydrates These strategies align with general recommendations for anyone experiencing peptide-related digestive changes

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3.6 Effect of L-carnitine on HDL, LDL, VLDL A meta-analysis of studies comparing LC and placebo effectiveness in modifying HDL, LDL, and VLDL levels was conducted separately, and it comprised 17,18 and 4 studies, respectively

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