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Im in the lowest dose and I have had zero side effects
You cant be like, "I want to eat and exercise in such a way that I only lose fat." It just doesnt do that. Interestingly, there is currently a weight loss drug bimagrumab which going through trials for retention of muscle mass
[4] In case of accidental large overdose (e.g., someone receives far more frequent injections than prescribed), monitoring for symptoms like flushing, tingling in extremities, or liver enzyme elevations would be prudent
Alternatives to Semaglutide, including other weight loss drugs and generic versions, present viable options
[Protective effect of L-carnitine in experimental high blood ammonium levels] [PMID: 6473858] Laboratory literature summary: [Protective effect of L-carnitine in experimental high blood ammonium levels]