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Additionally, stress can exacerbate gastrointestinal issues, leading to symptoms such as heartburn or indigestion

Semaglutide and tirzepatide may decrease the absorption of other oral medicines due to the delayed gastric-emptying effect

They speculate the drugs either caused or made the problem worse

An increase in the number or seriousness of seizures has been reported in people with a history of seizures who have used L-carnitine by mouth or by IV (intravenously)