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Some may feel a mild cooling sensation during treatment.

However, challenges such as high initial costs and limited acceptance decrease the generalization of bariatric surgery as a strategy to lower the obesity impact on public health

In early studies, the addition of oral L-carnitine or propionyl-L-carnitine to pharmacologic therapy for chronic stable angina modestly improved exercise tolerance and decreased electrocardiographic signs of ischemia during exercise testing in some angina patients (59-61)

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- Administration: Subcutaneous injection, preferably on an empty stomach