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Although it is often thought of as a diabetes drug, Ozempic is often prescribed off-label for weight loss, but it is not FDA approved for this use

When prescribed appropriately and monitored by a qualified medical provider, they are generally well tolerated and supported by strong safety and efficacy data

Instead, an anaerobic mechanism, carnitine -butyrobetaine (BB) TMA, was proposed as a more convincing pathway for TMA generation from carnitine [21]

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