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The main causes include reduced caloric intake from appetite suppression, changes in blood sugar levels, and dehydration from gastrointestinal side effects
For serious kidney disease: Doses of 10 to 20 mg/kg of L-carnitine given as a slow injection is FDA-approved for use for L-carnitine deficiency in people with serious kidney disease
This is not the case for everyone, but it is a reason to be thoughtful about monitoring and support, particularly for people with a personal or family history of eating disorders
The higher your starting point in terms of fitness, the better off you are
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