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Slower dose escalation, lower maintenance doses, and medication timing (taking GLP-1 with meals rather than fasting) may reduce gastric symptoms

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Nevertheless, the combination of L-leucine, creatine, and L-Carnitine potentiated the development of muscle mass and increased strength in older adults supplemented with the L-Carnitine-combination product, likely through a common mechanism, such as promoting increase protein synthesis, increasing branched amino acid bioavailability, and decreasing protein degradation [43]