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L-carnitine: physiological functions and active forms In physiological terms, carnitine acts as a shuttle ( carnitine shuttle ) to carry activated fatty acids into the mitochondrion, a necessary step to produce ATP when lipids predominate as fuel

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The treatment follows a dose escalation schedule, starting at 0.25 mg and increasing gradually to a maintenance dose of 2.4 mg (with 1.7 mg as an alternative if the higher dose is not tolerated), as outlined in the Wegovy SmPC

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