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doi:10.7326/annals-25-00860.
GIP has prokinetic effects in the upper GI tract that could prevent the stomach from grinding to a complete halt
However, serious side effects are rare and include issues like pancreatitis and gallbladder complications
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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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