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[1] [3] Secondary carnitine deficiencies may happen as the result of certain disorders, such as chronic kidney failure, or under conditions that reduce carnitine absorption or increase its excretion, such as the use of antibiotics, malnutrition, and poor absorption following digestion

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So while an occasional drink is not automatically off the table, timing, quantity, and how your body reacts all matter more than most people expect

Obviously, the labeling of these meds is still pretty cautious on this, which is understandable, but Id argue that even with this reassuring evidence that we talked about that GLP-1 arent associated with suicide, we should honestly warn any patient about mood changes, depression, or suicidal ideation with any drug and refer them to help ASAP, such as contacting the crisis line at nine hundred eighty eight we mentioned earlier to keep them safe and of course, stop the med if there ever concerns for any of these symptoms