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When we are stepping up to injectables, there is not just an onus on authenticating the chemical compound but infection control, stability of the substance, expiry certification and safe injectable techniques need to be added to the quality assurance processes. RACGP President Dr Nicole Higgins has also raised safety concerns and referenced a recent warning from the US Food and Drug Administration about the fact that salt-based semaglutide has not yet been found to be safe or effective by a regulator

Double-blind, randomised, placebo-controlled trial on the effect of L-carnitine and L-acetylcarnitine on sperm parameters in men with idiopathic oligoasthenozoospermia

They slow down muscle recovery and may lead to sarcopenia

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However, it is important to distinguish between harmless colour changes and those that may indicate a more significant underlying issue