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If you have not tried standard side effect management strategies first, split dosing should not be your first intervention
Levocarnitine side effects At oral doses of approximately 3,000 mg per day, levocarnitine can cause nausea, vomiting, abdominal cramps, and diarrhea
A patient on "the best" GLP-1 medication (by name) who titrates too quickly, skips doses, or stops at the first side effect will have worse outcomes than a patient on "the worst" GLP-1 medication who titrates slowly, stays consistent, and reaches maintenance dose
Pharmacological antagonism is, of course, the only thing wed be doing in humans, so this may not be justified
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