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The most commonly reported side effects of Hexarelin therapy include: It is also worth noting that Hexarelin can lead to desensitization over time, meaning the body may become less responsive to the peptide with prolonged, continuous use

Elevated homocysteine levels in mothers with neural tube defects: a systematic review and meta-analysis

Although these studies are considered long-term randomized controlled trial studies, they still only cover roughly 2-4 years, and patients may have been using GLP-1RA in clinical practice for a very short period of time

However, since the clinical trial combines several active ingredients with complementary properties, it is difficult to attribute the observed benefits specifically to L-carnitine