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Nat Rev Gastroenterol Hepatol

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About 25 percent of our carnitine requirement is typically synthesized inside our bodies (from the two amino acids just mentioned: lysine and methionine)

doi: 10.1016/j.cmet.2013.05.017

Quick Answer: Expired tirzepatide cannot be guaranteed to work effectively, as peptide degradation reduces potency over time, potentially leading to inadequate glycemic control or treatment failure
