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It has all the same functions as L-carnitine, while having slightly different biochemistry

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DOI: 10.1038/s41598-018-32032-x, Wicinski, M., Gebalski, J., Golebiewski, J., and Malinowski, B

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However, recent FDA decisions have removed these medications from the list of substances eligible for compounding, meaning that compounded semaglutide and compounded tirzepatide are no longer generally available