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After these deadlines, compounding tirzepatide is only permitted in limited circumstances, specifically when a prescriber determines that a compounded product provides a clinical difference for a specific patient that cannot be met by commercially available FDA-approved products, with that determination documented on an individual patient basis

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L-carnitine is primarily synthesized in the liver and transported via the bloodstream to cardiac and skeletal muscle, which rely on L-carnitine for fatty acid oxidation yet cannot synthesize it (8)