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L-carnitine can also be obtained from food, and the food component is highly bioavailable - sources of the substance are animal products such as meat, fish, milk and dairy products

The label also warns about potential acute gallbladder disease and notes that tirzepatide may reduce the absorption of oral medications due to delayed gastric emptying, including oral contraceptives, which may require backup contraception for 4 weeks after initiation and after each dose increase

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