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Maintenance Phase: Once the patients weight loss goals have been reached, they may receive an injection once or twice a month

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10.1620/tjem.224.209 Summary Keywords Doppler ultrasonography, heat stress, L-carnitine, nitric oxide, rams, total antioxidant capacity Citation El-Sherbiny HR, El-Shalofy AS and Samir H (2022) Exogenous L-carnitine Administration Ameliorates the Adverse Effects of Heat Stress on Testicular Hemodynamics, Echotexture, and Total Antioxidant Capacity in Rams

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And while personal stories can be very compelling, they can create a perception of effectiveness that may not be fully supported by clinical evidence