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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

Chen Z, Jiang J, Jiang R

These four pathways enable shuttling or recycling of these intermediate(s) into and out of mitochondrion, allowing continuous production of intracellular messenger(s)

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Diabetes Res Clin Pract 4(2):117-25, 1988

100 mg = 30 units