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Serving Size: 2 Capsules Servings Per Container: 50 Amount Per Serving: Acetyl-L-Carnitine (as Hydrochloride) 1000 mg Other Ingredients: Hydroxypropyl methylcellulose, microcrystalline cellulose, L-leucine

And indeed not only safe, but in fact cardioprotective, based on the SELECT trial

(2) Activation of the AGERAGE pathway induces ROS generation, which, in combination with mitochondrial dysfunction under diabetic conditions, exacerbates myocardial injury, further accelerates atrial remodeling, and promotes AF development (57, 58)

Throughout the SURPASS program, Tirzepatides overall ocular-adverse-event profile was comparable to comparators, and adjudicated analyses detected no signal for early diabetic-retinopathy worsening 37

Moreover mitochondrial SHMT appears to be ubiquitous