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[DOI] [PubMed] [Google Scholar] 38.Zhang H, Tong WT, Zhang CR, Li JL, Meng H, Yang HG, et al

ALA enhances membrane fluidity and ion channel function [57], while L-carnitine facilitates fatty acid transport into mitochondria, potentially improving energy metabolism and mitochondrial function [58]

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Herbal supplements with hypoglycemic effects should be used cautiously, as they may potentiate tirzepatide's glucose-lowering action and increase hypoglycemia risk, especially when combined with insulin or sulfonylureas

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