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The water distributes into interstitial spaces (the fluid between cells), not intravascular space (blood volume), which is why blood pressure typically doesn't change
The recommended dosage for Acetyl L-Carnitine is up to 2,500mg/day while the dose for L-carnitine L-tartrate, a form typically used to enhance athletic performance, is all the way high up to 4,000mg/day
Wegovys approval was based on the STEP study
However, chloroquine is shown to result in cardiotoxicity, often in the form of restricted or dilated cardiomyopathy or conduction system abnormalities
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