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Serious problems of bleeding, scarring, and infection are rare

While carnitine supplementation could have benefits, some recent studies suggest that chronic oral L-carnitine administration may be associated with an increased risk for atherosclerosis via increased trimethylamine (TMA) and/or trimethylamine N-Oxide (TMAO) levels (54, 55)

This combined pattern is one reason tirzepatide often produces greater average weight loss than semaglutide

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