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Results continue to improve with maintenance sessions

Weight regain affects 2030% of gastric bypass patients within 510 years, even after successful initial weight loss

Mercadal L, Coudert M, Vassault A, Pieroni L, Debure A, Ouziala M, Depreneuf H, Fumeron C, Servais A, Bassilios N, Bcart J, Assogba U, Allouache M, Bouali B, Luong N, Dousseaux MP, Montcel ST, Deray G (2012) L-carnitine treatment in incident hemodialysis patients: the multicenter, randomized, double- blinded, placebo-controlled CARNIDIAL trial

But I'd argue the real issue is much more nuanced

Secondary endpoints were also achieved, with 10 mg and 15 mg doses leading to substantial weight loss (up to 63% achieving 20% reduction)

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