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The compliance of the patients in the placebo and L-carnitine groups was 90.5% 11.5% and 85.1% 17.2%, respectively, which was not significantly different

Like any medication, GLP-1 drugs can have side effects

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Hepatology 78 (6), 18281842

Do hyaluronic acid injections reduce pain or improve function in people with knee osteoarthritis

But because racemic ALA has a much longer track record in clinical trials and because it offers greater manufacturing stability and affordability it's often the more reliable and cost-effective choice for most users