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Combination therapy should only be reviewed by a licensed provider because dosing, monitoring, and safety risks become more complex

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Cortisol is a stress hormone, and while a transient increase might not be problematic, sustained high levels can have metabolic consequences

10.1371/journal.pone.0092900 PLoS One 74 ShriM.KumarS.ChakrabartyD.TrivediP

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As mentioned, current data indicate the putative efficacy of both L-carnitine (1115) and pro/pre/synbiotics in ameliorating obesity and associated metabolic (lipid/glycemic) indicators (2629)