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The difference lies in preservatives and shelf life of each product

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one of the studies showed a significant effect of L-carnitine on the reduction of Apo A1 and Apo B100 levels when compared with the placebo group.[] Two studies found no significant change in L-carnitine compared with the placebo group after 6 months,[ , ] and one study showed that Apo B100 and Apo A1 levels significantly increased after intervention in comparison with the placebo group.[] Due to these contradictory findings, further studies with different durations of intervention, and doses, are necessary to reach a conclusive result

The FDA declared the Ozempic shortage over in February 2025