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These findings strongly suggest that L-carnitine is available as a conventional therapy for cirrhosis-related sarcopenia and that its combined use with rifaximin has the potential to be a novel effective therapy

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As a dietary supplement, L-carnitine offers advantages including favorable safety profile, convenient administration, and potential efficacy, positioning it as a promising adjunctive option for MASLD management

Both are administered via weekly injections, with Wegovy in single-use pens and Ozempic in needles that can vary in dosage

Handle with appropriate laboratory safety measures