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Look for gum with xylitol, which can also help reduce cavity-causing bacteria

Nature 15 , 373376 (2015)

By effectively blunting the toxic accumulation of lactic acid and reducing systemic markers of muscle damage, L-carnitine demonstrated a clear, undeniable ability to improve energy metabolism and delay the onset of physical fatigue

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Addressing these issues early not only improves safety but may also enhance the patients weight loss response and long-term health