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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

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Adelaide: The Australian Medicines Handbook Unit Trust

PubMed Thomas, M.K., Nikooienejad, A., Bray, R., Cui, X., Wilson, J., Duffin, K., et al

The peptides effects on stress responses may also indirectly benefit gut health, as stress is known to increase gut permeability and exacerbate gut symptoms