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Traditionally, your options were limited: switch medications (if clinically appropriate), add metformin, or refer to bariatrics

J Clin Periodontol

Research on this acetylated derivative of L-carnitine has centered largely on its role in maintaining brain and nerve function during aging.* The acetyl group can serve as a metabolic source of acetylcholine, a brain neurotransmitter, while the L-carnitine component carries fatty acids into mitochondria of nerve, heart, and muscle cells for use in energy production.* Provided in its stable, hydrochloride form.

Kishita N, Hammond L, Dietrich CM, Mioshi E

Sizing the challenge The global prevalence of obesity, defined as having a body mass index (BMI) equal to or greater than 30 kg/m2, is expected to rise from 14% of the worlds population in 2020 to 25% by 2035, or 1.9 billion people (Figure 1)