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The effects of L-carnitine supplementation on glycemic control: A systematic review and meta-analysis of randomized controlled trials

Tirzepatide, the active ingredient in Zepbound, works by activating GLP-1 and GIP receptors to regulate appetite and blood sugarbut this dual mechanism can trigger dizziness in some patients, particularly during the initial titration phase

During pregnancy, visceral adipose tissue increases due to normal metabolic and hormonal changes

(3) Comparison: Placebo or another GLP-1RA in the control group

360 Patients that will start treatment for the first time with GLP-1 receptor agonists will be recruited in 10 centers in the National Health System for a period of 6 months and 44 weeks of follow-up