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There is no strong controlled-trial data showing that methionine, inositol, and choline injections produce clinically meaningful fat loss beyond what the accompanying diet, exercise, and supervision account for

Think of it like this

CARTNIWEL PLUS TABLET is also used in the management of cardiomyopathy (weak heart muscles), skeletal myopathy (weak voluntary muscles), ischaemic cardiomyopathy (coronary heart disease), long term haemodialysis, Oligospermia (low sperm count) and for patients who are being managed with valproic acid (used to manage fits and bipolar disorder) and zidovudine (used to manage HIV)

2022 Sep;609(7929):E12

Neither compound is cheap, and the ongoing nature of both treatments means costs accumulate over months