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When combined with levocarnitine, the theoretical benefit is an additive or even synergistic effect on hepatic fat reduction: tirzepatide reduces the caloric load and improves systemic insulin sensitivity, while levocarnitine enhances the liver ability to oxidize existing fat stores and reduce inflammation

This would include discussing your medical history and current medication and ordering baseline tests and studies to determine if you qualify for a Mounjaro prescription

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Avoid lying down after eating, consider an over-the-counter antacid, and discuss persistent reflux with your provider

Joshua Silva, MD