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After four weeks, dosing adjustments depend on three markers: patient-reported sustained energy (indicating mitochondrial carnitine sufficiency), weight loss velocity (indicating hepatic lipid mobilisation), and subjective appetite control (indicating phosphatidylcholine-mediated satiety hormone signaling)
9 (11), e2103672
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The current trend of uncontrolled use of these medications may obscure potential harms to patients
This trend has also caused an increase in off-label use, where the drug is prescribed for something other than its approved use
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