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10.1038/nrgastro.2011.116 17

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Dairy products, peanut butter, salmon, and red meat naturally contain L-carnitine

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doi: 10.1016/j.biomaterials.2010.09.057

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If you notice a sudden change in effectiveness, increased hunger, reduced appetite suppression, or stalled weight loss , and nothing else in your protocol has changed, degraded medication should be on your list of suspects

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