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This symptom may arise through several mechanisms, including low blood glucose (hypoglycaemia), dehydration from gastrointestinal effects, orthostatic hypotension, or reduced caloric intake

Tirzepatide Affect Sexual Function in Women: Case Report

Endocrine (2020) 68(3):51825

This was also confirmed by the high expression of CPT1 mRNA in the liver and muscle of the L-carnitine-fed zebrafish, and the comparable mRNA expressions of ACO in both tissues between the groups