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Instead, if MB is used in a pain management context (e.g., oral rinse for mucositis pain), it might be compounded at a concentration for topical use (e.g., 5 mg/mL as a rinse) rather than systemic dosing

Side effects and tolerability of the combination Side effects from the tirzepatide levocarnitine combination come from both components, and the overlap between them is the primary tolerability concern