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Stacking both therapies increases the risk of cumulative GI side effects and potential dehydration, especially during the critical first 4 weeks of tirzepatide initiation when patients are establishing tolerance

L-Carnitine is scientifically proven to support optimal oxygen supply to the muscles, promote normal, healthy blood flow, and increase nitric oxide production all resulting in speedy exercise recovery and reduced post-workout fatigue.* COGNITIVE SUPPORT*: Never lose sight of your gains

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Potential Side Effects and Safety Considerations: Wegovy shares similar side effects with the other medications, including nausea, vomiting, diarrhea, and constipation

Br J Pharmacol 49:602613 Jorup-Rnstrm C, Beermann B, Whlin-Boll E, Melander A, Britton S (1986) Reduction of paracetamol and aspirin metabolism during viral hepatitis