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Oxyntomodulin, a gut-derived peptide hormone, activates both the GLP-1R and the GCGR, although, with reduced affinity compared to GLP-1 and glucagon, respectively

(117), emphasizes that regardless of monotherapy or combination regimens, reductions in BMI, waist circumference, fat mass, and visceral fat mass are consistent across most studies, with combination therapies often showing a greater magnitude of change

Structurally, L-carnitines carbonyl group at the -carbon can stabilize free radicals and shield plasma components from the harmful effects of reactive oxygen species and reactive nitrogen species

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A more realistic timeline is going to be over a couple of months once visceral fat levels go down