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When the diabetes drug sitagliptin went off patent in 2022, about 30 branded versions appeared within a month and nearly 100 within a year

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GR can perform its enzymatic activity in the cytoplasm, but also in the ER and within lysosomes, mitochondria and the nucleus

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Its also approved to reduce the risk of major cardiovascular health problems, such as heart attack , stroke, and death in adults with type 2 diabetes and heart disease

For L-carnitine specifically, most healthcare professionals would not routinely recommend supplementation for people taking Mounjaro unless there is a documented deficiency or a specific clinical indication