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Together with GLP-1, GIP plays an important role in postprandial glucose regulation by enhancing glucose-dependent insulin secretion
Molecular structure of L-carnitine and acylcarnitine (Virmani et al.,2015) Difference between Carnitine and Acylcarnitine Although carnitine and acylcarnitine are closely related and often discussed together, they have distinct roles and characteristics in the body: Carnitine is the fundamental molecule, a small water-soluble compound derived from the amino acids lysine and methionine
So, were not absorbing our nutrients as well
[1] Additionally, patients taking insulin or sulfonylureas alongside GLP-1 receptor agonists may experience hypoglycemia, which can produce symptoms (tremor, palpitations, sweating) that mimic anxiety
However, I would say if you have a history of thyroid cancer, you have a family member with a history of thyroid cancer, definitely be cautious and talk to your practitioner