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Palmitoylethanolamide and acetyl-L-carnitine act synergistically with duloxetine and [PMID: 37378482] Laboratory literature summary: Palmitoylethanolamide and acetyl-L-carnitine act synergistically with duloxetine and pregabalin in fibromyalgia: results of a randomised

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Nutrition, exercise still matter Neither medication is as effective in promoting weight loss as GLP-1 drugs, and Qsymia is known to cause birth defects, while Contrave comes with a black box warning label for the risk of suicidal thoughts and behaviors

One would have to sample Reddit posts from individuals not on these medications or using other medications to see if they had these symptoms