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If gastrointestinal symptoms are problematic, adjusting the timing may be considered, with reassessment after several weeks

To support this idea, these studies found that increasing muscle carnitine content saves muscle glycogen during low-intensity exercise (consistent with an increase in muscle lipid utilization), but that increasing muscle carnitine content reduces muscle anaerobic ATP production during high-intensity exercise by better matching glycolytic, pyruvate dehydrogenase complex, and mitochondrial flux [23]

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Misconception: if you have any thyroid problem you cannot take tirzepatide This is perhaps the most damaging misconception