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Indirect effects may occur, as both substances can influence fluid balance and gastrointestinal function

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Vitamin B6 Deficiency. StatPearls, StatPearls Publishing, 2022

It decreases protein in the urine (a key sign of kidney stress and damage)

Its also advised to avoid heavy, fatty meals which can aggravate gastrointestinal discomfort while on tirzepatide

[PubMed] [PMC] Lee MS, Lee HJ, Lee HS, Kim Y (2006) L-carnitine stimulates lipolysis via induction of the lipolytic gene expression and suppression of the adipogenic gene expression in 3T3-L1 adipocytes