This suggests that there is greater protein catabolism in d-carnitine-treated fish and that free amino acids, including essential amino acids, are metabolised to produce additional energy
10.1038/mp.2012.77 Mol Psychiatry
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It also notes that head-to-head trials between the two remain limited, so direct comparisons rest on separate study populations
Curr Obstet Gynecol Rep
Selecting the right agonist depends on factors such as the patient's health profile and specific weight loss goals