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"For people who have developed nausea, continuing the current dose for a longer period, slowing further escalation, or even temporarily lowering the dose one step, can be very effective." Staying hydrated is crucial during these dose adjustments, he said, as dehydration can worsen nausea

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This occurs because unabsorbed carnitine in the gut can be metabolized by intestinal bacteria into a compound called trimethylamine (TMA), which is then excreted through sweat and breath

State boards of pharmacy conduct inspections every 612 months, and sterile compound batches undergo required third-party testing