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ALCAR is available in many health food stores, online retailers, and through nootropic suppliers

But in Indian practice, they are often added on top of: Sulfonylureas (like glimepiride, gliclazide) Or insulin If the doses of these older drugs are not reduced when appetite drops, the combination can lead to dangerous blood sugar dips in patients who are now eating much less

doi: 10.1016/j.celrep.2024.114665 38 AktarTChenJEttelaieRHolmesM

Expect minimal loss in the first month, followed by an average of 1-2 pounds weekly for the first 3-6 months, potentially leading to 15-20% total body weight loss by months 9-15

doi: 10.1054/bjoc.2001.1943