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They can stay in your system for over 20 hours where as Synthetic Human Growth Hormone only stays in for 15 minutes meaning you get much more of a long term effect

Presented for research literature review only Gupta V et al

Traina G (2016) The neurobiology of acetyl-L-carnitine

However, the drug maker has been accused of engaging in unprecedented marketing, which promoted the weight loss benefits, leading to the widespread use of Ozempic as a diet drug