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[1] [3] Humans synthesize carnitine from the substrate TML (6- N -trimethyllysine), which is in turn derived from the methylation of the amino acid lysine

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When taking medications such as tirzepatide , patients should watch for possible side effects including: vomiting diarrhea gastrointestinal discomfort Healthcare providers can help determine whether symptoms are related to medication, supplements, or other health conditions