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Zofran is very effective in treating this

MacMahon Copas AN, McComish SF, Fletcher JM, Caldwell MA

[DOI] [PubMed] [Google Scholar] 128.Yabut J.M., Drucker D.J
The addition of L-Carnitine can boost fat metabolism, increase energy, and enhance exercise endurance

This is a significant drop from a single medication
