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Rapid physiological changes : Significant weight loss and metabolic changes may affect some individuals' psychological wellbeing, particularly if changes occur quickly, though the evidence for this is limited

Fatigue: You might feel more tired than usual as your body adapts to the medication and a potential decrease in caloric intake

2017 Aug 14;8:564

Its also found in many green vegetables such as spinach, asparagus, and okra

Can You Take Both L-Carnitine and Acetyl L-Carnitine

A steady state means the amount of medication going into your body is balanced with the amount being cleared out, providing consistent appetite suppression and metabolic support