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Several therapeutic strategies have been proposed to address facial volume loss and skin laxity

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Common side effects may include: Nausea and vomiting Diarrhea or constipation Abdominal pain or bloating Decreased appetite (this is the intended effect, but can feel intense initially) Most patients find that these side effects are mild and tend to decrease as the body adjusts to the medication

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In the case of renal impairment, urinary elimination of carnitine increasing, endogenous synthesis decreasing, and poor nutrition as a result of disease-induced anorexia can result in carnitine deficiency

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