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See our prior blog GLP-1 Drugs: FDA Sued Over Removing Tirzepatide from the Drug Shortage List, dated October 23, 2024

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But that's not the only thing the medication had changed

Other factors which may increase the risk of hypoglycemia include changes in meal pattern (e.g., macronutrient content or timing of meals), changes in level of physical activity, or changes to concomitant drugs [see DRUG INTERACTIONS ]

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It may be useful in certain medical situations, especially confirmed carnitine deficiency, but routine supplementation is not necessary for most healthy people