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Description
Both groups achieved significant weight loss by week 18, but the carnitine group lost more body weight (23.7% vs 19.6%)

This occurs when the VPA metabolites trap mitochondrial free CoA so that LC cannot be restored through the action of CPT II

Extended description of the assessment is provided elsewhere [43] and in Supplemental methods

The most significant contraindication for this combination injection is a known hypersensitivity or allergy to tirzepatide, niacinamide, or any component of the formulation

Meanwhile, weight changes as well as some biochemical tests before and after supplement administration were investigated

L-Carnitine is essential for normal heart function
