Reduce by one dose level every 4 weeks
Some clinicians move patients through a progression: start with Sermorelin to establish tolerability and baseline response
There are multiple types of L-carnitine, such as: Acetyl-L-carnitine or ALCAR: Can help support cognitive health and functioning Propionyl-L-Carnitine: Can help support cardiovascular health L-Carnitine L-Tartrate: A common form used in workout supplements, and has added antioxidant protection All of these will add L-carnitine to your body, but each form adds specific benefits in addition to that, as you can see above
When to investigate poor response Losing less than 5% body weight by week 12 despite consistent dosing and reasonable dietary adherence signals need for evaluation
"Some people will say things like, 'Oh, when I started regaining weight, it seemed like I just smell food, and I gained more weight.' That's an exaggeration, of course, but it can certainly feel that way given the pace of how quickly some people can regain weight." In addition, as with weight loss, many variables affect weight gain, some of which we can control, some of which we can't