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PPI safety for long-term use Extended PPI use (longer than 8 weeks at full dose) carries potential risks including magnesium depletion, B12 deficiency, slightly increased fracture risk, and possible kidney effects
If you live in an urban area in India, where pollution and UV exposure deplete glutathione faster than average, daily supplementation is not optional maintenance
Some providers add a separate monthly membership of $74 to $149 on top of medication, and some raise the medication price as your dose climbs toward maintenance
The Bottom Line Tirzepatide wins on weight-loss efficacy in head-to-head trials
My patient is on multiple medications
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