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However, the absence of documented direct effects does not mean that patients never experience changes in libido whilst taking Saxenda

Watch for signs of an allergic reaction such as: Skin rash Itching Hives Blisters Peeling Swelling of the face, mouth, lips, or throat Trouble breathing Chest pain If you notice any signs of an allergic reaction, get immediate emergency medical help

This is accomplished in the Pyruvate dehydrogenase complex (PDC) which is a complex of three enzymes that transform pyruvate into acetyl-CoA through a process called pyruvate decarboxylation

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This suggests that the body is conserving free L-carnitine to be able to bind to long-chain fatty acids, but it also shows an elevated excretion of short-chain acetyl-CoA