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declares that she is a shareholder and consultant for Zihipp Ltd, an Imperial College spinout company that is developing gut hormone-based analogues for obesity

This is not an interaction with Acetyl-l-carnitine it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one: Read the full Metformin, Rosiglitazone nutrient depletion report Acetyl-l-carnitine is itself a nutrient we track see which medications may deplete ACETYL-L-CARNITINE

Rattray Z, Dubljevic V, Rattray NJW, et al

Patients should verify their specific plan's formulary and coverage criteria before initiating treatment