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There are various studies indicating that athletes and active individuals on L-Carnitine intake have reduced fatigues and increased endurance during their workouts, making their exercises much more effective

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[47] Although the mechanisms by which PPIs cause these changes are yet to be determined, they may have a role in the increased risk of bacterial infections with PPI use

Adding this anabolic support to a retatrutide-driven caloric deficit could theoretically shift the composition of weight loss toward greater fat loss and less muscle loss