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In addition, the pleiotropic physiological effects of carnitine (e.g., antioxidant, anti-inflammatory and antiapoptotic effects) are particularly important for the protection against kidney diseases, especially drug-induced nephrotoxicity [259]

These would be much worse if you started at a high dose, and your titration schedule may differ from the norm if you experience more or fewer side effects than is normal

By way of comparison, GLP-1-based drugs act by mimicking the GLP-1 hormone that is secreted into the bloodstream from the lower gastrointestinal tract in response to greater nutrient availability following food consumption

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Decisions about using GLP-1 medicines after breast cancer should involve multidisciplinary input from your GP, oncologist, and potentially an endocrinologist or diabetes specialist, particularly if you have a history of thyroid disease