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The results from this study strongly support the hypothesis that an innovative supplementation protocol involving L-carnitine can improve endurance performance by promoting more efficient fat metabolism, reducing heart rate, and decreasing perceived exertion during high-intensity exercise

doi: 10.1016/j.febslet.2006.04.088 33

And finally, even if it turns out these drugs have to be taken for life and most people do in about next five years or so, these patents will start to expire, and well have generic manufacturers making their own GLP-1s