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Pivalate is a branched-chain fatty acid anion that is metabolized to form an acyl-CoA ester, which is transesterified to carnitine and subsequently excreted in the urine as pivaloyl carnitine

Talk with your healthcare provider if you have questions about which option might be best for you or if constipation persists

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They offer a biological mechanism to overcome the complex hurdles of weight loss and metabolic risk