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Sleep changes (if present) tend to stabilize

Jones PM, Hobai IA, Murphy PM

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

Higher temperatures can worsen postural tachycardia syndrome

Check with your doctor as soon as possible if any of the following side effects occur while taking levocarnitine: More common side effects Less common side effects fast heartbeat fever Rare side effects seizures Other side effects of L-Carnitine Some side effects of levocarnitine may occur that usually do not need medical attention

Kumar, A., et al