l carnitine and tirzepatide GLP-1 Compounded Tirzepatide/L-Carnitine took my first dose tonight Tirzepatide + L-Carnitine - IV

Lactic Acidosis: Metformin can rarely cause a serious and life-threatening condition called lactic acidosis (too much lactic acid in the blood)

[16] Reported rates from trials include: Nausea: ~44% Vomiting: ~25% Diarrhea: ~31% Constipation: ~23% Dyspepsia: ~10% These effects reflect slowed gastric motility and are usually mild, but can lead to clinical implications: Dehydration Electrolyte abnormalities ED presentations for poor oral intake

Its involved in the metabolism of fats and amino acids, as well as the formation of myelin, which creates a protective sheath around your nerve cells ( Deficiencies in both forms of vitamin B12 can increase your risk of neurological issues and adverse side effects ( Both cyanocobalamin and methylcobalamin are reduced to a cobalamin molecule thats converted to the active forms of this vitamin within the cells of the body ( Some researchers recommended treating vitamin B12 deficiencies with either cyanocobalamin or a combination of methylcobalamin and adenosylcobalamin due to distinct properties of these latter two forms ( SUMMARY While they differ in some aspects, both cyanocobalamin and methylcobalamin can be converted to other forms of cobalamin within the body

doi:10.1177/2331216519885571

What this tells you is that the guidance isnt a clear-cut yes or no

Its best to have your skincare provider review your complete routine to determine what works best for your skin