This is not an interaction with Acetyl-l-carnitine it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one: Read the full Aspirin nutrient depletion report Acetyl-l-carnitine is itself a nutrient we track see which medications may deplete ACETYL-L-CARNITINE
Journal of Clinical Endocrinology & Metabolism , 107(2), pp.394403
Shelly says Wegovy had an even more dramatic effect
It initially received FDA clearance for people with diabetes ages six and up in July 2023
Feller L, Masilana A, Khammissa RA, Altini M, Jadwat Y, Lemmer J
It is also notable that the microbial BBTMA activity was induced even in some vegans/vegetarians despite continuation of a vegan/vegetarian diet, with l-carnitine supplementation