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Biochimie 175 , 5057 (2020)

This isn't a theoretical risk

Wegovy may contribute to an increased risk for thyroid c-cell tumors, acute pancreatitis, gallbladder disease, hypoglyceia, acute kidney injury, severe GI side effects, and an increased risk for worsening of diabetic retinopathy in people with type 2 diabetes

Low levels of carnitine in the body can lead to a decrease in brain function and cognitive ability, as well as energy levels, especially in older people.