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People on a balanced diet of meat and regular physical activity have no problem meeting their carnitine requirements through diet alone, but vegans and endurance athletes should consider supplementation

doi:10.1016/S0304-4165(99)00123-3

Close monitoring during the initial treatment phase is therefore particularly important for this patient group

Do not use this product if you are pregnant or nursing

In obese individuals with insulin-treated type 2 diabetes, pramlintide dose-dependently reduces body weight (98104)

A healthcare provider may prescribe it instead of Januvia if it makes sense for the patient, but other generic alternatives to Januvia can work just as well