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Carnitine serves as a shuttle, transporting long-chain fatty acids into the mitochondria where they undergo -oxidation to produce energy

doi: 10.1016/j.peh.2018.02.001 77 DmitrievAVAndreevN

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DOI: 10.1016/S0140-6736(05)67394-1

Patients taking oral contraceptives should be aware that tirzepatide may decrease the absorption of these medications due to delayed gastric emptying, potentially requiring backup contraception for 4 weeks after initiation and after each dose increase
