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Nature Reviews Gastroenterology and Hepatology (2020) doi:10.1038/s41575-020-0315-7

But if someone has other symptoms such as fatigue, muscle weakness, and brain fog, or symptoms of low iron such as hair loss (low iron is associated with carnitine deficiency), I will often test for carnitine levels and suggest dietary adjustments or supplements

It helps to block excess glutamate

Psychiatric side effects were tracked closely, especially: Depression Anxiety Suicidal ideation Regulatory agencies reviewed these outcomes carefully and did not find a consistent signal suggesting GLP-1 medications directly cause anger or aggression