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This review keeps to that question and stays fair-balance rather than promotional

The researchers behind the review found that, on average, across both trials, participants lost 10% or more of their skeletal muscle over 68 to 72 weeks

10.3389/fphar.2019.00322 192 ZhangX

Particularly if you have a long history of having your body policed against external beauty standardsas most women and people assigned female at birth dothe rapidity of the physical changes can lead you to feel unfamiliar in your body, she says

The reviewers concluded that L-carnitine supplementation consistently showed significant reductions in fatigue levels across multiple studies