(You can reach out to a Midi Health clinician for more personalized guidance on how to safely and effectively meet your health goals.) You may have recently caught wind of a peptide called ipamorelin, which people online talk about like its a magic wand for all sorts of midlife annoyances
The benefits in ASCVD risk reduction with GLP-1RA are evidenced by 14% risk reduction in cardiovascular mortality with an NNTB of 207 to prevent one event, 13% MACE reduction with an NNT of 67 to prevent one event and 12% risk reduction in stroke with an NNT of 335 to prevent one event, along with their favourable safety profile of 6% increased overall adverse events

L-carnitine supplementation at this critical juncture may enhance the body's capacity to oxidize released fatty acids, potentially improving: Fat oxidation efficiency: Enhanced mitochondrial function supports greater utilization of mobilized fat stores Energy levels: Improved fatty acid metabolism may reduce fatigue often associated with caloric restriction Muscle preservation: L-carnitine's role in protein metabolism may help maintain lean body mass during weight loss Metabolic flexibility: Better substrate utilization may improve metabolic health markers beyond weight alone Clinical Evidence and Emerging Research While large-scale studies specifically examining tirzepatide or semaglutide combined with L-carnitine remain limited, individual component research provides compelling support: A 2023 meta-analysis in Obesity Reviews demonstrated that L-carnitine supplementation contributed to significant additional weight loss compared to placebo, with an average reduction of 1.3 kg (2.86 lbs) over 12 weeks

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10.1007/s12265-022-10294-1 7 BisserierM.MathiyalaganP.ZhangS.ElmastourF.DorfmullerP.HumbertM.et al (2021)
Obesity plays a particularly significant role in both conditions