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GLP-1 can cause nausea, which may lead to reduced fluid intake

Indeed, carnitine even reduced lipid metabolism in red sea bream 15 , yellow catfish 24 and rainbow trout 25

When to Contact a Clinician While some period changes are nothing to worry about, others can be a sign of something more serious

Overall, GH and IGF-1 misuse is biologically plausible as a cause of hypertension, arrhythmia, and cardiomyopathy, but direct evidence in athletes is sparse

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