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La tirzepatida comnmente causa nuseas (15-30% de pacientes), vmitos, diarrea, estreimiento y dolor abdominal, especialmente durante las primeras semanas de tratamiento o al aumentar la dosis
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coli , Salmonella typhimurium , Proteus vulgaris and Proteus mirabilis , do not assimilate the carbon and nitrogen skeleton of trimethylammonium compounds, but are able to metabolize carnitine, via crotonobetaine, to -butyrobetaine [4]
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