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While the Australian agency acknowledged that Ozempic was being prescribed "off-label," they noted the Australian government "does not have the power to regulate the clinical decisions of health professionals and is unable to prevent doctors from using their clinical judgment to prescribe Ozempic for other health conditions." After a few months, Roy said, Trish switched to Saxenda another injectable to lose even more weight

Patients may experience mild to moderate gastrointestinal symptoms, including nausea, reduced appetite, and occasional loose stools

Reduced levels of L-carnitine would be expected to have a similar effect as they could equally result in an inability to transport fatty acids into the mitochondria for oxidation