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Monitoring for signs of B12 deficiency remains important, particularly if Mounjaro-related side effects lead to prolonged reduced food intake or vomiting

It's important to note that tirzepatide carries a boxed warning for thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)

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Semaglutide, spre deosebire de acesta, este un agonist GLP-1 selectiv, cu un mecanism mai focalizat i bine predictibil

Administration of acetyl-L-carnitine, an acetylated form of L-carnitine improved the mental status to normal levels and resolved hyperammonemia in a patient on chronic hemodialysis who exhibited elevated serum ammonia levels and altered mental status (38)