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Extra sugar gets turned into a substance called sorbitol, which builds up and stresses the nerve

Pugh, W

When oxygen availability is limited, glucose is the most metabolically efficient fuel, and during myocardial ischemia, the ratio of acetyl-CoA/CoA in mitochondria increases, leading to the activation of pyruvate dehydrogenase (PDH) kinase, which in turn phosphorylates PDH to inhibit its activity

A While the risk of hypoglycemia with Mounjaro is relatively low, if excessive dietary restrictions are implemented in parallel with Mounjaro use, symptoms of hypoglycemia such as dizziness, fatigue, and palpitations may occur