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Fluid retention and swelling
Glucose undergoes autoxidation, producing ROS as by-products [173]
In addition, skeletal muscle and cardiac muscle cells cannot synthesize carnitine on their own, so they are completely dependent on the supply of carnitine in the blood
These changes are mainly cosmetic, but they can feel surprising or upsetting, especially when youre otherwise happy with the effects of the medication. Not everyone who uses GLP-1 medications will experience changes like Ozempic vulva, and you may not be able to prevent them entirely
Adding prebiotics or synbiotics and following proper dosing and timing can further improve gut resilience and treatment tolerance
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