It is opposite to L-carnitine
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Biochem Biophys Acta 1832:773779 Virmani MA, Biselli R, Spadoni A, Rossi S, Corsico N, Calvani M, Fattorossi A, De Simone C, Arrigoni-Martelli E (1995) Protective actions of l-carnitine and acetyl-l-carnitine on the neurotoxicity evoked by mitochondrial uncoupling or inhibitors
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Whether the additional glucagon receptor activity of retatrutide contributes to a higher rate of gastrointestinal side effects compared with GLP-1 monotherapy has not yet been established in head-to-head studies, and any such comparison should be interpreted cautiously