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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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A foul odour is a strong indicator of spoilage, bacterial growth, mold, or chemical breakdown, and the product should be avoided to prevent adverse effects