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[3] Generally individuals, including strict vegetarians, synthesize enough L-carnitine in vivo
In general, essential fatty acid deficiency (i.e., deficiency of both ALA and LA) has been observed only in patients with chronic fat malabsorption, cystic fibrosis, or those on parenteral nutrition without PUFA (86, 95) (see the article on Essential Fatty Acids)
A return of appetite doesnt mean the medication isnt controlling your blood glucose. Keep moving
Common combinations like metformin with tirzepatide are generally safe but should be monitored