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Conversely, some patients may experience fatigue as a side effect, leading to reduced activity and subsequent joint stiffness

BPC-157 is also not a specifically named substance on the World Anti-Doping Agency (WADA) Prohibited List, although athletes should never assume that absence from a named list equals clearance, since broad catch-all categories can apply

High response rate, with 100% of participants achieving at least 5% weight loss at higher doses

That said, it is helpful to monitor thyroid and carnitine levels when taking L-carnitine not because problems are expected, but because monitoring is good clinical practice when adding any supplement that has a theoretical interaction pathway