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No Consider compounded semaglutide (CAD $250-350/month) or delay treatment until financial situation changes Yes Proceed to decision point 4 Decision point 4: Do you have obesity-related comorbidities (hypertension, prediabetes, dyslipidemia, sleep apnea, cardiovascular disease)

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Engineering L-carnitine export was possible for biotransformation, but is not suitable for de novo production

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