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No dose adjustment is recommended at this time [10]

Formulation: Tirzepatide 10 mg/mL + Levocarnitine 100 mg/mL Schedule: Same titration as Protocol 1, with an additional oral L-carnitine supplement (500 to 1,000 mg, taken 60 to 90 minutes before exercise sessions) to boost total carnitine availability on training days

| doi:10.1016/j.bbamcr.2016.01.023 Pooyandjoo M, Nouhi M, Shab-Bidar S, Djafarian K, Olyaeemanesh A.: The effect of (L-)carnitine on weight loss in adults: a systematic review and meta-analysis of randomized controlled trials

The most common side effects are mild injection site reactions (redness, tenderness), temporary fatigue, and occasional headaches