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They are physiological differences that show up on objective testing

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Common side effects of semaglutide are usually mild and may include: Nausea Vomiting Diarrhea Constipation Abdominal pain Decreased appetite Indigestion The majority of side effects are transient and typically resolve spontaneously

In addition, carnitine supplementation is said to increase VO2max and reduce lactate production during strenuous exercise and is also claimed to improve endurance exercise performance by increasing fat oxidation and sparing muscle glycogen