If you have a tamper with your machine, you may want to use it
Whether you are starting semaglutide (Ozempic, Wegovy) or tirzepatide (Mounjaro, Zepbound), the initial weeks bring noticeable changes, some exciting and some uncomfortable
Primary: Genetic OCTN2 transporter defect the body cannot retain carnitine in tissues Secondary: Chronic kidney disease/hemodialysis (dialysis removes carnitine), valproate and other drugs, and metabolic disorders How low levels are diagnosed Plasma total and free carnitine concentrations
In addition to risk of vitamin B12, calcium, iron and magnesium malabsorption, there is evidence that acid suppression by PPIs increases risk of malabsorption of other important vitamins and minerals as well, including vitamin C, zinc and folic acid.[231- 235] Proton pump inhibitor therapy lowers the concentration of vitamin C in gastric juice and the proportion of the vitamin in its active antioxidant form i.e., ascorbic acid
