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Liraglutide is approved in Europe for patients with T2DM and mild or moderate kidney damage, but is currently not recommended or should be used with caution in patients with severe renal impairment (130)

1), which is consistent with previously reported decreases in acetylcarnitine in other fatigue-associated conditions and supports our hypothesis that acetylcarnitine supplementation may be beneficial in the treatment of long COVID-associated neuropsychiatric symptoms