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Additionally, before and after each medication the thoracic fluid index was measured with bioimpedance cardiography (Physioflow Enduro, Manatec Biomedical, France) and blood samples were collected for the measurement of plasma bioactive renin, aldosterone and atrial natriuretic peptide (ANP)

It uses Carnipure, a patented and clinically studied form of L-Carnitine, and is safe for long-term use with no stimulants or habit-forming ingredients

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The researchers note that future studies should directly compare surgery with newer GLP-1 therapies, such as semaglutide and tirzepatide, to further guide treatment decisions.