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Occasionally, an injection may have hit a larger blood vessel, creating a hematoma (collection of blood) that requires monitoring
Many people find that patience during the first few weeks pays off with improved tolerance over time
It can interfere with strength training, daily movement, and meal planning
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The weakest part of the argument is that no clinical trial has ever tested this specific combination, the additive effect of levocarnitine on top of tirzepatide substantial metabolic impact may be negligible, and the cost premium is not clearly justified by the expected benefit
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