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& Szurszewski, J

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Endocrinology 149, 16541665

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L-Carnitine can be a useful tool to help the body switch to fat-burning mode, especially when combined with regular exercise

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Cash-Pay Patients If paying out-of-pocket regardless of brand: Zepbound: $1,069/month Compounded tirzepatide: $349/month Save $720/month ($8,640/year) with compounded option Availability Considerations: Shortage Status: Both Mounjaro and Zepbound have experienced shortages: High demand exceeding manufacturing capacity No guarantee either is available at your pharmacy May need to call multiple pharmacies Wait times of weeks to months during shortages Supply is improving as of late 2025, but intermittent shortages still occur

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