Some research has suggested a possible connection between L-carnitine supplementation and increased risk of atherosclerosis, a condition in which the arteries harden due to buildup of fats, cholesterol, and other substances
Center S, Harte J, Watrous D, et al
A study on semaglutide (Ozempic, Wegovy) found that up to 39% of weight lost came from muscle mass , not fat
additional potential treatments for hyperammonemia hyperammonemia physiology Mechanisms of ammonia elevation: (1) Valproic acid and metabolites (especially propionic acid) inhibit the activity of N-acetylglutamate synthetase (NAGS)
The key is having a clinician experienced with pediatric obesity guiding that decision, rather than extrapolating from adult guidelines