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Tirzepatide Tirzepatide is a dual agonist

These studies have shown that carnitine may improve exercise capacity in people with CHF

Heart Rate Control Beta-blockers (e.g., propranolol, metoprolol): Reduce heart rate and can improve exercise tolerance in some patients Ivabradine : Slows heart rate without affecting blood pressure, often better tolerated than beta-blockers 3

If you are taking both medications, it is important to work closely with your doctor to monitor for any side effects and make sure that the combination is safe for you

Pre-filled pens are used in clinical trials but are not available outside the trial setting