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Hair thinning has been reported by some patients, likely related to rapid weight loss and caloric restriction rather than the medication itself

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When used together, creatine and beta-alanine have been shown to benefit exercise performance, strength and lean muscle mass ( Summary Beta-alanine may be even more effective when combined with supplements like sodium bicarbonate or creatine

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These studies did not systematically evaluate fertility markers, pregnancy rates, or reproductive hormone changes as primary or secondary outcomes